By Raymond G. Bayer
Univ. of Washington, Seattle. entire textual content targeting the apparatus wishes of cardiac sufferers and respiration failure pediatric sufferers, Highlights using mechanical aid in nonsurgical ailments, in addition to the optimum administration of perioperative help in cardiac and pulmonary transplantations in youngsters. For surgeons, clinicians, and technicians.
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Univ. of Washington, Seattle. accomplished textual content targeting the apparatus wishes of cardiac sufferers and respiration failure pediatric sufferers, Highlights using mechanical aid in nonsurgical ailments, in addition to the optimum administration of perioperative aid in cardiac and pulmonary transplantations in young children.
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Extra info for Mechanical Support for Cardiac and Respiratory Failure in Pediatric Patients
Simplicity VAD is straightforward in concept and design and requires little technical attention following insertion. Only a few minutes are required to set up and prime the circuit, providing an advantage in the cardiac arrest situation. ECMO is more complex to set up, prime, and debubble. On the other hand, with ECMO support can be established in some patients with peripheral closed chest cannulation, which is generally not possible with VAD in small children. The potential for complete left ventricular support with ECMO may be limited without the addition of a left ventricular vent, which complicates the system considerably.
Berlin: Springer, 1997:7–20. 9. Thuys CA, Mullaly RJ, Horton SB, et al. Centrifugal ventricular assist in children under 6 kg. Eur J Cardio Thorac Surg 1998; 13:130–134. 10. Warnecke H, Berdjis F, Hennig E, et al. Mechanical left ventricular support as a bridge to cardiac transplantation in childhood. Eur J Cardio Thorac Surg 1991; 5: 330–333. 11. Del Nido PJ, Armitage JM, Fricker FJ, et al. Extracorporeal membrane oxygenation as a bridge to pediatric heart transplantation. Circulation 1994; 90:II66–69.
A. ALCAPA In this rare congenital anomaly (about 10Ϫ5 of all infants), the entire left coronary system arises from the pulmonary artery. The basic pathophysiology is considered to be retrograde flow from the left coronary artery into the pulmonary artery, which may increase as the pulmonary vascular resistance drops postnatally (24,25). The result is a variable degree of myocardial ischemia, sometimes leading to extensive subendocardial or even transmural infarction. Despite its rarity, ALCAPA is the most common cause of myocardial infarction in children (24).
Mechanical Support for Cardiac and Respiratory Failure in Pediatric Patients by Raymond G. Bayer