Salha Ahmad, Chowdhury Tasnim, Singh Saloni, Luyt Jessica, Harky Amer
Department of Medicine, St George's Hospital Medical School, London, United Kingdom.
School of Medicine, University of Central Lancashire, Preston, United Kingdom.
J Pediatr Intensive Care. 2021 Jul 3;12(4):245-255. doi: 10.1055/s-0041-1731682. eCollection 2023 Dec.
Extracorporeal membrane oxygenation (ECMO) is a rapidly emerging advanced life support technique used in cardiorespiratory failure refractory to other treatments. There has been an influx in the number of studies relating to ECMO in recent years, as the technique becomes more popular. However, there are still significant gaps in the literature including complications and their impacts and methods to predict their development. This review evaluates the available literature on the complications of ECMO postcardiotomy in the pediatric population. Areas explored include renal, cardiovascular, hematological, infection, neurological, and hepatic complications. Incidence, risk factors and potential predictors, and scoring systems for the development of these complications have been evaluated.
体外膜肺氧合（ECMO）是一种迅速兴起的高级生命支持技术，用于治疗对其他治疗方法无效的心肺衰竭。近年来，随着该技术越来越普及，有关ECMO的研究数量不断增加。然而，文献中仍存在重大空白，包括并发症及其影响以及预测其发生的方法。本综述评估了有关儿科心脏术后ECMO并发症的现有文献。探讨的领域包括肾脏、心血管、血液学、感染、神经和肝脏并发症。评估了这些并发症的发生率、危险因素和潜在预测因素以及评分系统。
