Pediatric patients with suspected myocarditis and malignant dysrhythmias may require significant stabilization and extracorporeal life support during critical-care transport.
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May warrant ECLS readiness for pediatric myocarditis transport; case reports leave open incidence and predictors.
Myocarditis and malignant dysrhythmias are unusual presentations in pediatric patients. We report a series of 4 patients with myocarditis and arrhythmia who presented to community emergency departments and were transported to a pediatric tertiary-care center. Three of the patients required extracorporeal life support. We discuss considerations for stabilization and transport: airway and ventilation, hemodynamic support, induction and sedation medication choices, transport decisions, and the traits of an ideal receiving center.
Wolf et al. (2010) studied this question.
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