Why the study?
Does emergent cardiopulmonary bypass improve outcomes in pediatric patients with cardiac arrest refractory to pediatric advanced life support?
Case Report (n=3)
Does emergent cardiopulmonary bypass improve outcomes in pediatric patients with cardiac arrest refractory to pediatric advanced life support?
Emergent cardiopulmonary bypass may be a viable rescue strategy for pediatric patients with refractory cardiac arrest in the catheterization laboratory.
May support emergent cardiopulmonary bypass in refractory pediatric arrest; hypothesis-generating case series leaves open need for prospective trials.
We report the application of emergent cardiopulmonary bypass (CPB) for three pediatric patients in the cardiac catheterization laboratory with cardiac arrest who did not respond to conventional resuscitation efforts. All three patients had return of baseline prearrest rhythms within minutes of the initiation of artificial cardiopulmonary support and the return of spontaneous circulation upon weaning CPB. Two patients had normal neurologic outcomes despite an interval of over 30 minutes from arrest to CPB. The continued judicious application and study of this technology in a small subpopulation of pediatric cardiac arrest patients is warranted.
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TECKLENBURG et al. (1999) conducted a case report in cardiac arrest refractory to pediatric advanced life support (n=3). emergent cardiopulmonary bypass (CPB) was evaluated on return of baseline prearrest rhythms and return of spontaneous circulation.
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