Extracorporeal cardiopulmonary resuscitation for pediatric cardiac patients.

Background: Extracorporeal cardiopulmonary resuscitation (ECPR) has been shown to improve survival after in-hospital pediatric cardiac arrest. We describe our experience with ECPR for refractory cardiac arrest in pediatric cardiac patients.

Methods: We performed a retrospective analysis of the use of venoarterial extracorporeal membrane oxygenation (ECMO) for in-hospital cardiac arrest from 2002 to 2011.

Fulminant valvulitis from acute rheumatic fever: successful use of extracorporeal support.

Objective: To describe an unusual case of fulminant rheumatic fever presenting acutely as severe respiratory failure managed with extracorporeal membrane oxygenation and ultimately valve replacement while on extracorporeal membrane oxygenation.

Design: Case report.

Setting: Large quaternary care pediatric intensive care unit.

Validation of the CAS neonatal NIRS system by monitoring vv-ECMO patients: preliminary results.

The CAS neonatal NIRS system determines absolute regional brain tissue oxygen saturation (SnO2) and brain true venous oxygen saturation (SnvO2) non-invasively. Since NIRS-interrogated tissue contains both arterial and venous blood from arterioles, venules, and capillaries, SnO2 is a mixed oxygen saturation parameter, having values between arterial oxygen saturation (SaO2) and cerebral venous oxygen saturation (SvO2). To determine a reference for SnO2, the relative contribution of SvO2 to SaO2 drawn from a brain venous site vs.

Hair loss after extracorporeal membrane oxygenation.

Objective: To discuss the factors associated with hair loss reported after the completion of extracorporeal membrane oxygenation.

Design: Prospective survey and retrospective chart review.

Setting: Tertiary care pediatric and adult extracorporeal membrane oxygenation program in a children's hospital.

Primary use of the venovenous approach for extracorporeal membrane oxygenation in pediatric acute respiratory failure.

Objectives: To describe a single center's experience with the primary use of venovenous cannulation for supporting pediatric acute respiratory failure patients with extracorporeal membrane oxygenation (ECMO).

Design: Retrospective chart review of all patients receiving extracorporeal life support at a single institution.

Setting: Pediatric intensive care unit at a tertiary care children's hospital.