Division of Cardiac Critical Care Medicine, Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, 19104, USA.
Indian J Pediatr. 2023 May;90(5):501-509. doi: 10.1007/s12098-023-04545-5. Epub 2023 Mar 29.
The field of pediatric heart failure is evolving, and the patient population is growing as survival after complex congenital heart surgeries is improving. Mechanical circulatory support and extracorporeal respiratory support in critically ill children has progressed to a mainstay rescue modality in pediatric intensive care medicine. The need for mechanical circulatory support is growing, since the number of organ donors does not meet the necessity. This article aims to review the current state of available mechanical circulatory and respiratory support systems in acute care pediatrics, with an emphasis on the literature discussing the challenges associated with these complex support modalities.
小儿心力衰竭领域正在发展,随着复杂先天性心脏手术后的生存率提高,患者人群也在不断增加。机械循环支持和体外呼吸支持在危重病儿童中的应用已经发展成为儿科重症监护医学的主要抢救方式。由于器官捐献者的数量无法满足需求,对机械循环支持的需求也在不断增加。本文旨在回顾急性儿科可用的机械循环和呼吸支持系统的现状,重点讨论与这些复杂支持方式相关的挑战的文献。