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Outcomes of adolescent children with severe cardiogenic shock referred for extracorporeal membrane oxygenation: insight from collaboration of adult shock team and paediatric cardiac critical care

Published online by Cambridge University Press:  09 October 2024

Siew Yee Yap ,
Ajay Desai  and
Amy C.F. Chan-Dominy Open the ORCID record for Amy C.F. Chan-Dominy [Opens in a new window]
Siew Yee Yap
Affiliation:
Paediatric Intensive Care, Paediatric Cardio-Respiratory Intensive Care Division, Royal Brompton Hospital, Guy’s and St Thomas NHS Foundation Trust, London, UK
Ajay Desai
Affiliation:
Paediatric Intensive Care, Paediatric Cardio-Respiratory Intensive Care Division, Royal Brompton Hospital, Guy’s and St Thomas NHS Foundation Trust, London, UK
Amy C.F. Chan-Dominy*
Affiliation:
Paediatric Intensive Care, Paediatric Cardio-Respiratory Intensive Care Division, Royal Brompton Hospital, Guy’s and St Thomas NHS Foundation Trust, London, UK Critical Care and Anaesthesia, Heart-Lung-Critical Care Division, Royal Brompton Hospital, London, UK
*
Corresponding author: Amy C.F. Chan-Dominy; Email: [email protected]
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Abstract

Adolescents with severe cardiogenic shock can present to both paediatric and adult centres. We present six adolescent children who had extracorporeal membrane oxygenation consultation fast-tracked with clinical care input from the adult multidisciplinary team, including interhospital transfers on extracorporeal membrane oxygenation. After recovery on conventional cardiogenic shock care or extracorporeal membrane oxygenation, or bridge to transplant, all had favourable neurologic outcome.

Keywords

Children and adolescentsextracorporeal membrane oxygenationintensive carecardiogenic shock
Type
Brief Report
Information
Cardiology in the Young , Volume 34 , Issue 10 , October 2024 , pp. 2268 - 2271
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Copyright
© The Author(s), 2024. Published by Cambridge University Press

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References

Rehder, KJ, Turner, DA, Cheifetz, IM et al. Extracorporeal membrane oxygenation for neonatal and pediatric respiratory failure: an evidence-based review of the past decade (2002–2012). Pediatr Crit Care Med 2013; 14: 851–861.CrossRefGoogle ScholarPubMed
Ramanathan, K, Yeo, N, Alexander, P et al. Role of extracorporeal membrane oxygenation in children with sepsis: a systematic review and meta-analysis. Crit Care 2020; 24: 684. DOI: 10.1186/s13054-020-03418-z.CrossRefGoogle ScholarPubMed
Amodeo, A, Stojanovic, M, Erdil, T et al. Risk factors and outcomes of children with congenital heart disease on extracorporeal membrane oxygenation – a ten-year single-center report. Life 2023; 13: 1582. DOI: 10.3390/life13071582.CrossRefGoogle ScholarPubMed
Dante, SA, Carroll, MK, Ng, DK et al. Extracorporeal membrane oxygenation outcomes in children with pre-existing neurologic disorders or neurofunctional disability. Paediatr Crit Care Med 2022; 23: 881–892. DOI: 10.1097/PCC.0000000000003064.CrossRefGoogle ScholarPubMed
Peek, GJ, Mugford, M, Tiruvoipati, R et al. Efficacy and economic assessment of conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR): a multicentre randomised controlled trial. Lancet 2009; 374: 1351–1363. DOI: 10.1016/S0140-6736(09)61069-2.CrossRefGoogle Scholar
Fiser, DH. Assessing the outcome of pediatric intensive care. J Pediatr 1992; 121: 68–74. DOI:10.1016/s0022-3476(05)82544-2.CrossRefGoogle ScholarPubMed
Ghelani, SJ, Spaeder, MC, Pastor, W, Spurney, CF, Klugman, D. Demographics, trends and outcomes in pediatric acute myocarditis in the United States, 2006 to 2011. Circ Cardiovasc Qual Outcomes 2012; 5: 622–627. DOI: 10.1161/CIRCOUTCOMES.112.965749.CrossRefGoogle ScholarPubMed
Bembea, MM, Loftis, LL, Tiagarajan, RR et al. Extracorporeal membrane oxygenation characteristics and outcomes in children and adolescents with COVID-19 or multisystem inflammatory syndrome admitted to US ICUs. PCCM 2023; 24: 356–371. DOI: 10.1097/PCC.0000000000003212.Google ScholarPubMed
Puri, K, Jentzer, JC, Spinner, JA et al. Clinical presentation, classification, and outcomes of cardiogenic shock in children. J Am Coll Cardiol 2024; 83: 595–608. DOI: 10.1016/j.jacc.2023.11.019.CrossRefGoogle ScholarPubMed
Bhaskar, P, Davila, S, Hoskote, A, Thiagarajan, R. Use of ECMO for ECMO for cardiogenic shock in pediatric population. J Clin Med 2021; 10: 1573–1588. DOI: 10.3390/jcm10081573.CrossRefGoogle ScholarPubMed