Pediatric and Neonatal Extracorporeal Life Support: Current State and Continuing Evolution

Overview

Journal Pediatr Surg Int

Specialties General Surgery
Pediatrics

Date 2021 Jan 2

PMID 33386443

Citations 5

Authors

Brian P Fallon

Samir K Gadepalli

Ronald B Hirschl

Affiliations

Soon will be listed here.

Abstract

The use of extracorporeal life support (ECLS) for the pediatric and neonatal population continues to grow. At the same time, there have been dramatic improvements in the technology and safety of ECLS that have broadened the scope of its application. This article will review the evolving landscape of ECLS, including its expanding indications and shrinking contraindications. It will also describe traditional and hybrid cannulation strategies as well as changes in circuit components such as servo regulation, non-thrombogenic surfaces, and paracorporeal lung-assist devices. Finally, it will outline the modern approach to managing a patient on ECLS, including anticoagulation, sedation, rehabilitation, nutrition, and staffing.

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