caa a22 4500 465772641 CHVBK 20180323111933.0 cr unu---uuuuu 170327e19900801xx s 000 0 eng 10.1007/BF00177095 doi (NATIONALLICENCE)springer-10.1007/BF00177095 Extracorporeal life support (ECLS) for pediatric trauma: experience with five cases [Elektronische Daten] [Harry Anderson III, Arnold Coran, David Schmeling, Robert Attori, Keith Oldham, Robin Chapman, Robert Bartlett] Extracorporeal life support (ECLS) was used to treat five pediatric trauma patients (ages 1 to 17 years) with respiratory failure unresponsive to conventional mechanical ventilation. Diagnoses in these patients that resulted in respiratory failure included hydrocarbon aspiration (one patient), multiple trauma with pulmonary contusion (two patients), bronchopleural fistula (one patient), and neardrowning (one patient). Time on ECLS bypass averaged 328 h (range 140-527 h). Physiologic complications included bleeding, cardiac arrest, cardiac tamponade, hypoxemia, and hypotension. Mechanical complications involving the bypass circuit included roller-pump raceway rupture, roller-pump failure, and membrane oxygenator failure. All complications were managed without mortality. Three of the five patients were decannulated from ECLS and survived. Support was terminated in the remaining two due to irreversibility of the pulmonary injury. ECLS may provide life-saving support to pediatric patients with respiratory failure after trauma when conventional means of ventilatory support have failed. Springer-Verlag, 1990 Anderson III Harry Section of Pediatric Surgery, C. S. Mott Children's Hospital and the Section of General Surgery, University of Michigan Medical School, 48 109-0245, Ann Arbor, MI, USA aut Coran Arnold Section of Pediatric Surgery, C. S. Mott Children's Hospital and the Section of General Surgery, University of Michigan Medical School, 48 109-0245, Ann Arbor, MI, USA aut Schmeling David Section of Pediatric Surgery, C. S. Mott Children's Hospital and the Section of General Surgery, University of Michigan Medical School, 48 109-0245, Ann Arbor, MI, USA aut Attori Robert Section of Pediatric Surgery, C. S. Mott Children's Hospital and the Section of General Surgery, University of Michigan Medical School, 48 109-0245, Ann Arbor, MI, USA aut Oldham Keith Section of Pediatric Surgery, C. S. Mott Children's Hospital and the Section of General Surgery, University of Michigan Medical School, 48 109-0245, Ann Arbor, MI, USA aut Chapman Robin Section of Pediatric Surgery, C. S. Mott Children's Hospital and the Section of General Surgery, University of Michigan Medical School, 48 109-0245, Ann Arbor, MI, USA aut Bartlett Robert Section of Pediatric Surgery, C. S. Mott Children's Hospital and the Section of General Surgery, University of Michigan Medical School, 48 109-0245, Ann Arbor, MI, USA aut Pediatric Surgery International Springer-Verlag 5/5(1990-08-01), 302-306 0179-0358 5:5<302 1990 5 383 https://doi.org/10.1007/BF00177095 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00177095 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Anderson III Harry Section of Pediatric Surgery, C. S. Mott Children's Hospital and the Section of General Surgery, University of Michigan Medical School, 48 109-0245, Ann Arbor, MI, USA aut NATIONALLICENCE 700 1- Coran Arnold Section of Pediatric Surgery, C. S. Mott Children's Hospital and the Section of General Surgery, University of Michigan Medical School, 48 109-0245, Ann Arbor, MI, USA aut NATIONALLICENCE 700 1- Schmeling David Section of Pediatric Surgery, C. S. Mott Children's Hospital and the Section of General Surgery, University of Michigan Medical School, 48 109-0245, Ann Arbor, MI, USA aut NATIONALLICENCE 700 1- Attori Robert Section of Pediatric Surgery, C. S. Mott Children's Hospital and the Section of General Surgery, University of Michigan Medical School, 48 109-0245, Ann Arbor, MI, USA aut NATIONALLICENCE 700 1- Oldham Keith Section of Pediatric Surgery, C. S. Mott Children's Hospital and the Section of General Surgery, University of Michigan Medical School, 48 109-0245, Ann Arbor, MI, USA aut NATIONALLICENCE 700 1- Chapman Robin Section of Pediatric Surgery, C. S. Mott Children's Hospital and the Section of General Surgery, University of Michigan Medical School, 48 109-0245, Ann Arbor, MI, USA aut NATIONALLICENCE 700 1- Bartlett Robert Section of Pediatric Surgery, C. S. Mott Children's Hospital and the Section of General Surgery, University of Michigan Medical School, 48 109-0245, Ann Arbor, MI, USA aut NATIONALLICENCE 773 0- Pediatric Surgery International Springer-Verlag 5/5(1990-08-01), 302-306 0179-0358 5:5<302 1990 5 383 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer