초록접수 현황
| 15F-172 | 구연 발표 |
Extracorporeal Membrane Oxygenation(ECMO) Support in Pediatrics: A Single-center Experience
한우식, 심만식, 조양현, 성기익, 양지혁, 전태국
성균관대학교 의과대학 삼성서울병원 흉부외과학교실
Background : To review the use of ECMO for pediatric cases in a single institution.
Methods : Pediatric ECMO cases performed between 2004 and 2014 at Samsung Medical Center were retrospectively reviewed. The main interest was survival to hospital discharge.
Results : A total of 121 individual ECMO runs in 116 patients were identified. Median age at support was 13.5 years (range, 1days -17.8 years). Median body weight was 8.5kg (range, 1.98 – 88.2 kg). There were 28 neonatal cases including 13 prematurity. 50(41.3%) cases were post-cardiotomy support. Among them, 15 runs were applied to single ventricle physiology after various stage of corrective surgery. 37(30.6%) runs were respiratory support. Of all, 63(52.1%) were weaned from ECMO and 45(37.2%) survived to discharge. 10 patients were listed for transplantation during ECMO support and finally 4 patients received heart transplantation. 3 of them survived to discharge.
Conclusion : ECMO can be a considerable option for temporary support expecting spontaneous recovery or bridge to transplantation in various pediatric heart or lung disability.
Methods : Pediatric ECMO cases performed between 2004 and 2014 at Samsung Medical Center were retrospectively reviewed. The main interest was survival to hospital discharge.
Results : A total of 121 individual ECMO runs in 116 patients were identified. Median age at support was 13.5 years (range, 1days -17.8 years). Median body weight was 8.5kg (range, 1.98 – 88.2 kg). There were 28 neonatal cases including 13 prematurity. 50(41.3%) cases were post-cardiotomy support. Among them, 15 runs were applied to single ventricle physiology after various stage of corrective surgery. 37(30.6%) runs were respiratory support. Of all, 63(52.1%) were weaned from ECMO and 45(37.2%) survived to discharge. 10 patients were listed for transplantation during ECMO support and finally 4 patients received heart transplantation. 3 of them survived to discharge.
Conclusion : ECMO can be a considerable option for temporary support expecting spontaneous recovery or bridge to transplantation in various pediatric heart or lung disability.
책임저자: 양지혁
성균관대학교 의과대학 삼성서울병원 흉부외과학교실
연락처 : 한우식, Tel: 02-3410-1676 , E-mail : innomi79@gmail.com
