Neonatal and pediatric extracorporeal membrane oxygenation in developing Latin American countries

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art_KATTAN_Neonatal_and_pediatric_extracorporeal_membrane_oxygenation_in_developing_2017.PDF (1.18 MB)
Citações na Scopus
8
Tipo de produção
article
Data de publicação
2017
Editora
SOC BRASIL PEDIATRIA
DOI
Indexadores
SciELO
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Autores
KATTAN, Javier
GONZALEZ, Alvaro
CASTILLO, Andres
Autor de Grupo de pesquisa
Editores
Coordenadores
Organizadores
Citação
JORNAL DE PEDIATRIA, v.93, n.2, p.120-129, 2017
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Objective: To review the principles of neonatal-pediatric extracorporeal membrane oxygenation therapy, prognosis, and its establishment in limited resource-limited countries in Latino America. Sources: The PubMed database was explored from 1985 up to the present, selecting from highly indexed and leading Latin American journals, and Extracorporeal Life Support Organization reports. Summary of the findings: Extracorporeal membrane oxygenation provides ""time"" for pulmonary and cardiac rest and for recovery. It is used in the neonatal-pediatric field as a rescue therapy for more than 1300 patients with respiratory failure and around 1000 patients with cardiac diseases per year. The best results in short- and long-term survival are among patients with isolated respiratory diseases, currently established as a standard therapy in referral centers for high-risk patients. The first neonatal/pediatric extracorporeal membrane oxygenation Program in Latin America was established in Chile in 2003, which was also the first program in Latin America to affiliate with the Extracorporeal Life Support Organization. New extracorporeal membrane oxygenation programs have been developed in recent years in referral centers in Argentina, Colombia, Brazil, Mexico, PerU, Costa Rica, and Chile, which are currently funding the Latin American Extracorporeal Life Support Organization chapter. Conclusions: The best results in short- and long-term survival are in patients with isolated respiratory diseases. Today extracorporeal membrane oxygenation therapy is a standard therapy in some Latin American referral centers. It is hoped that these new extracorporeal membrane oxygenation centers will have a positive impact on the survival of newborns and children with respiratory or cardiac failure, and that they will be available for an increasing number of patients from this region in the near future. (C) 2016 Sociedade Brasileira de Pediatria.
Palavras-chave
Extracorporeal membrane oxygenation, ECMO, Respiratory failure, Cardiac failure, Pulmonary hypertension, ELSO
URI
https://observatorio.fm.usp.br/handle/OPI/20302
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Coleções
Artigos e Materiais de Revistas Científicas - HC/InCor
Artigos e Materiais de Revistas Científicas - ODS/03