Key result
Paediatric extracorporeal membrane oxygenation yields survival benefits, but survivors may experience cognitive or functional morbidities and consume considerable healthcare resources.
Pediatric ECMO survivors may experience cognitive and functional morbidities requiring significant healthcare resources.
Paediatric ECMO survivors warrant neurodevelopmental surveillance and resource planning; leaves open optimal strategies for morbidity reduction.
The use of extracorporeal membrane oxygenation can be rationalised by the assumption that non-zero survival after refractory cardiorespiratory failure represents improved outcome. Survivors may have cognitive and or functional morbidities, require complex ongoing care, and as a consequence consume considerable healthcare resources.
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R Van Litsenburg (2005) studied this question. Paediatric extracorporeal membrane oxygenation yields survival benefits, but survivors may experience cognitive or functional morbidities and consume considerable healthcare resources.
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