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Pediatric and neonatal extracorporeal life support: current state and continuing evolution
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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7775668/ https://www.ncbi.nlm.nih.gov/pubmed/33386443 http://dx.doi.org/10.1007/s00383-020-04800-2 |
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author | Fallon, Brian P. Gadepalli, Samir K. Hirschl, Ronald B. |
author_facet | Fallon, Brian P. Gadepalli, Samir K. Hirschl, Ronald B. |
author_sort | Fallon, Brian P. |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-7775668 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-77756682021-01-04 Pediatric and neonatal extracorporeal life support: current state and continuing evolution Fallon, Brian P. Gadepalli, Samir K. Hirschl, Ronald B. Pediatr Surg Int Review Article 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. Springer Berlin Heidelberg 2021-01-01 2021 /pmc/articles/PMC7775668/ /pubmed/33386443 http://dx.doi.org/10.1007/s00383-020-04800-2 Text en © The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Review Article Fallon, Brian P. Gadepalli, Samir K. Hirschl, Ronald B. Pediatric and neonatal extracorporeal life support: current state and continuing evolution |
title | Pediatric and neonatal extracorporeal life support: current state and continuing evolution |
title_full | Pediatric and neonatal extracorporeal life support: current state and continuing evolution |
title_fullStr | Pediatric and neonatal extracorporeal life support: current state and continuing evolution |
title_full_unstemmed | Pediatric and neonatal extracorporeal life support: current state and continuing evolution |
title_short | Pediatric and neonatal extracorporeal life support: current state and continuing evolution |
title_sort | pediatric and neonatal extracorporeal life support: current state and continuing evolution |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7775668/ https://www.ncbi.nlm.nih.gov/pubmed/33386443 http://dx.doi.org/10.1007/s00383-020-04800-2 |
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