Adjunctive Therapies During Extracorporeal Membrane Oxygenation to Enhance Multiple Organ Support in Critically Ill Children
نویسندگان
چکیده
Since the advent of extracorporeal membrane oxygenation (ECMO) over 40 years ago, there has been increasing interest in the use of the extracorporeal circuit as a platform for providing multiple organ support. In this review, we will examine the evidence for the use of continuous renal replacement therapy, therapeutic plasma exchange, leukopheresis, adsorptive therapies, and extracorporeal liver support in conjunction with ECMO.
منابع مشابه
Prolonged extracorporeal membrane oxygenation for children with respiratory failure.
OBJECTIVE Extracorporeal membrane oxygenation is used to support children with respiratory failure. When extracorporeal membrane oxygenation duration is prolonged, decisions regarding ongoing support are difficult as a result of limited prognostic data. DESIGN Retrospective case series. SETTING Multi-institutional data reported to the Extracorporeal Life Support Organization Registry. PAT...
متن کاملNutritional imbalances during extracorporeal life support.
Extracorporeal life support has become an integral part of the technologies used in the intensive care. Renal replacement therapy is used daily and extracorporeal membrane oxygenation (ECMO) has become more popular in the recent years with the increasing prevalence of influenza-induced severe respiratory failure. Many years ago, critically ill infants requiring ECMO were found to have the highe...
متن کاملExtracorporeal therapies in pediatric organ dysfunction: extracorporeal membrane oxygenation and continuous renal replacement therapy.
Extracorporeal membrane oxygenation (ECMO) is a supportive therapy, which provides cardiopulmonary and end-organ support in critically ill patients when other measures fail. These patients receive large amounts of fluid for volume resuscitation, blood products and caloric intake, which results in fluid overload and which in turn is associated with impairment of oxygen transport and increased in...
متن کاملAntibiotic dose optimization in critically ill patients.
The judicious use of existing antibiotics is essential for preserving their activity against infections. In the era of multi-drug resistance, this is of particular importance in clinical areas characterized by high antibiotic use, such as the ICU. Antibiotic dose optimization in critically ill patients requires sound knowledge not only of the altered physiology in serious infections - including...
متن کاملExtracorporeal Membrane Oxygenation (ECMO) and the Critical Cardiac Patient
PURPOSE OF REVIEW This review is to summarize the basics of veno-arterial (VA) extracorporeal membrane oxygenation (ECMO) as it is utilized for critically ill cardiac patients. RECENT FINDINGS ECMO may be instituted in a variety of health care settings, from the emergency room to the operating room. The types of patients who may benefit from ECMO are reviewed in detail. The complications of E...
متن کامل