Shah Shreya Bharat, Joshi Reena Khantwal, Rattan Avvayyam, Aggarwal Neeraj, Joshi Raja
Department of Anaesthesiology, Pain Medicine and Critical Care Medicine, All India Institute of Medical Sciences, New Delhi, India.
Department of Paediatric Cardiac Sciences, Sir Ganga Ram Hospital, New Delhi, India.
Ann Pediatr Cardiol. 2023 Mar-Apr;16(2):134-137. doi: 10.4103/apc.apc_45_22. Epub 2023 Aug 16.
Extracorporeal membrane oxygenation (ECMO) is a form of extracorporeal life support which provides cardiorespiratory support to patients with potentially reversible pathophysiological processes. ECMO has evolved over the past few decades as a standard technology for neonatal severe respiratory support. However, its use in the pediatric population has increased only since 2009. We report a case of a 9-month infant who required a prolonged (789 h) venoarterial ECMO for severe acute respiratory distress consequent to pneumonia probably secondary to aspiration. He was discharged after this prolonged ECMO run without any obvious unfavorable outcome and is neurodevelopmentally sound at a 26-month follow-up.
体外膜肺氧合（ECMO）是一种体外生命支持形式，为具有潜在可逆病理生理过程的患者提供心肺支持。在过去几十年中，ECMO已发展成为新生儿严重呼吸支持的标准技术。然而，其在儿科人群中的应用直到2009年才开始增加。我们报告一例9个月大的婴儿，因可能继发于误吸的肺炎导致严重急性呼吸窘迫，需要长时间（789小时）的静脉-动脉ECMO支持。在这次长时间的ECMO支持后，他顺利出院，没有任何明显的不良后果，在26个月的随访中神经发育正常。
