Document Detail


Survival after prolonged pediatric extracorporeal membrane oxygenation support for adenoviral pneumonia.
MedLine Citation:
PMID:  18675627     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Adenoviral pneumonia can cause significant pulmonary morbidity leading to extracorporeal membrane oxygenation (ECMO) rescue. Reported survival of adenoviral pneumonia requiring ECMO has been poor, and prolonged time on ECMO is associated with increased mortality. We present 2 pediatric cases of adenoviral pneumonia in patients who survived after greater than 30 days on ECMO and review the Extracorporeal Life Support Organization (ELSO) registry to describe the collective experience of children with viral pneumonia requiring prolonged ECMO. Although survival has improved over the past decade for pediatric adenoviral pneumonia, the ELSO database previously has had no surviving children reported with a primary diagnosis of adenovirus after more than 4 weeks on ECMO. Our experience suggests that there may be use for prolonged ECMO support in children despite severe adenoviral pneumonia.
Authors:
Taslim F Allibhai; Philip C Spinella; Michael T Meyer; Brian H Hall; Daniel Kofos; Robert J DiGeronimo
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  43     ISSN:  1531-5037     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-08-04     Completed Date:  2008-11-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e9-e11     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Wilford Hall USAF Medical Center, Lackland AFB, San Antonio, TX 78236-5300, USA. taslim.allibhai@lackland.af.mil
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MeSH Terms
Descriptor/Qualifier:
Adenovirus Infections, Human / diagnosis,  therapy*
Anti-Bacterial Agents / therapeutic use
Child, Preschool
Extracorporeal Membrane Oxygenation / adverse effects,  methods*
Female
Follow-Up Studies
Humans
Infant
Pneumonia, Viral / diagnosis,  therapy*
Risk Assessment
Severity of Illness Index
Time Factors
Treatment Outcome
Ventilator Weaning / methods
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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