Author/Authors :
Ayık, M F Ege Üniversitesi - Tıp Fakültesi - Kalp ve Damar Cerrahisi Anabilim Dalı, Türkiye , Işık, O Ege Üniversitesi - Tıp Fakültesi - Kalp ve Damar Cerrahisi Anabilim Dalı, Türkiye , Akyüz, M Ege Üniversitesi - Tıp Fakültesi - Kalp ve Damar Cerrahisi Anabilim Dalı, Türkiye , Atay, Y Ege Üniversitesi - Tıp Fakültesı - Kalp Damar Cerrahisi Anabilim Dallar, Türkiye
Abstract :
Extracorporeal membrane oxygenation (ECMO) is a proven therapy for patients with cardiac or respiratory failure across all age groups who do not respond to conventional treatment modalities. Increasing complex repairs in neonates and infants with complicated congenital heart diseases have led to the increased use of extracorporeal membrane oxygenation (ECMO) support. Use of ECMO in such a high-risk population is associated with significant morbidity and mortality, with an overall survival rate remaining at approximately 40%. Patient selection is important to the success of usage of ECMO. The key to successful outcomes in usage of ECMO is experienced and multidisciplinary teamwork. In pediatric cardiac surgery, common indications for ECMO include cardiorespiratory failure, lack of response to standard treatment, failure to separate from cardiopulmonary bypass and low cardiac output syndrome. In this article, the indications and applications of ECMO are evaluated in pediatric cardiac surgery
