Authors
Patrick T Delaplain, Tim Jancelewicz, Matteo Di Nardo, Lishi Zhang, T Yu Peter, John P Cleary, Francesco Morini, Matthew T Harting, Danh V Nguyen, Yigit S Guner
Publication date
2019/5/1
Journal
Journal of pediatric surgery
Volume
54
Issue
5
Pages
903-908
Publisher
WB Saunders
Description
Purpose
The purpose of this study was to identify management preferences that may exist in the care of infants with CDH receiving ECMO with emphasis on VV-ECMO.
Methods
A survey was created to measure treatment preferences regarding ECMO use in CDH. The survey was distributed to all APSA and ELSO/Euro-ELSO members via e-mail. Survey results were summarized using descriptive statistics.
Results
The survey had 230 respondents. The survey participants were surgeons (75%), neonatologists/intensivists (23%), and “other” (2%). The mean annual center volume was 11.6(± 9.6) CDH cases, and the average number treated with ECMO was 4.5 (± 6.4) cases/yr. The most agreed upon criteria for ECMO initiation were preductal O2 saturation < 80% refractory to ventilator manipulation and medical therapy (89%), oxygenation index > 40 (80%), severe air-leak (79%), and mixed acidosis (75%). Over 60% of …
Scholar articles
PT Delaplain, T Jancelewicz, M Di Nardo, L Zhang… - Journal of pediatric surgery, 2019