When is pediatric ECMO indicated?

Updated: Dec 21, 2017
  • Author: Edwin Rodriguez-Cruz, MD; Chief Editor: Stuart Berger, MD  more...
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Answer

Answer

Pediatric ECMO is indicated or considered in the following situations:

  • Low cardiac output resulting from right, left, and biventricular failure following repair of congenital heart defect

  • Pulmonary vasoreactive crisis following repair of congenital heart defect leading to severe hypoxemia, low cardiac output, or both

  • Rarely, as a bridge to cardiac surgery in patients with serious end-organ damage resulting from profound low cardiac output related to congenital heart disease

  • As a bridge to cardiac transplant

  • Possibly, as a bridge to recovery in temporary cardiomyopathy secondary to renal failure, myocarditis, and burns.

Today, other indications or less strict selection of patients in certain institutions have made the use of this technology more diverse, not only in acute cardiac problems but also in primary pulmonary diseases. [10, 11, 12, 13, 14, 15]


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