Extracorporeal Membrane Oxygenation (ECMO) Support in Special Patient Populations—The Bidirectional Glenn and Fontan Circulations

Frontiers in Pediatrics

Steven M. Schwartz¹  Seth B. Gray²  Matthew K. Bacon²  David S. Cooper² 

[1] Departments of Critical Care Medicine and Pediatrics, The Hospital for Sick Children and the University of Toronto, Toronto, ON, Canada;The Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States;

关键词: ECMO;    glenn;    fontan;    single ventricle;    cardiac intensive care;    outcomes;   

DOI  :  10.3389/fped.2018.00299

来源: DOAJ

【 摘 要 】

Extracorporeal membrane oxygenation (ECMO) is a support modality used within the pediatric cardiac ICU population as a bridge to recovery or decision in the setting of acute myocardial decompensation, support for combined cardiopulmonary failure or in the setting of refractory cardiopulmonary arrest. Patients with univentricular physiology are at particular risk for decompensation requiring ECMO support. This review will focus upon current evidence and techniques for ECMO support of single ventricle patients who have undergone a stage II bidirectional Glenn procedure or the stage III Fontan procedure.

【 授权许可】

Unknown