TY - JOUR
T1 - Extracorporeal membrane oxygenation as a resuscitation measure in the pediatric emergency department
AU - Nevet, Alon
AU - Polak, Talia
AU - Dagan, Ovdi
AU - Waisman, Yehezkel
N1 - Publisher Copyright:
© 2015, Israel Medical Association. All rights reserved.
PY - 2015/10
Y1 - 2015/10
N2 - Background: Extracorporeal membrane oxygenation (ECMO) may serve as a bridge to regain cardiac function in refractory resuscitation. However, its use has so far been limited owing to low availability, especially in emergency departments. Objectives: To describe two children with acute myocarditis successfully treated with ECMO in the emergency department of a tertiary pediatric medical center. Description: The children presented with vomiting, followed by rapid deterioration to cardiogenic shock that failed to respond to conservative treatment. Given the urgency of their condition and its presumably reversible (viral) etiology, treatment with ECMO was initiated in the department’s resuscitation room. Results: Outcome was excellent, and cardiac function remained normal throughout 6 and 10 months follow-up. Conclusions: Extracorporeal life support has enormous potential in the emergency department and warrants further assessment.
AB - Background: Extracorporeal membrane oxygenation (ECMO) may serve as a bridge to regain cardiac function in refractory resuscitation. However, its use has so far been limited owing to low availability, especially in emergency departments. Objectives: To describe two children with acute myocarditis successfully treated with ECMO in the emergency department of a tertiary pediatric medical center. Description: The children presented with vomiting, followed by rapid deterioration to cardiogenic shock that failed to respond to conservative treatment. Given the urgency of their condition and its presumably reversible (viral) etiology, treatment with ECMO was initiated in the department’s resuscitation room. Results: Outcome was excellent, and cardiac function remained normal throughout 6 and 10 months follow-up. Conclusions: Extracorporeal life support has enormous potential in the emergency department and warrants further assessment.
KW - Extracorporeal membrane oxygenation (ECMO)
KW - Myocarditis
KW - Refractory cardiogenic shock
UR - http://www.scopus.com/inward/record.url?scp=84949439922&partnerID=8YFLogxK
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C2 - 26665320
AN - SCOPUS:84949439922
SN - 1565-1088
VL - 17
SP - 639
EP - 641
JO - Israel Medical Association Journal
JF - Israel Medical Association Journal
IS - 10
ER -