Characteristics And Outcomes Of Extracorporeal Life Support In Pediatric Trauma Patients
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Background: Extracorporeal life support (ECLS) utilizing extracorporeal membrane oxygenation (ECMO) techniques has been used in the pediatric population for numerous indications, but its use in trauma has been understudied. We sought to examine the indications, characteristics, and outcomes of children placed on ECMO for trauma, and hypothesized that outcomes would be equivalent to those of patients placed on ECMO for other indications.
Methods: We performed a retrospective review of all pediatric trauma patients in the Extracorporeal Life Support Organization registry from 1989 - 2018. Patient characteristics, indications for ECMO, pre and post-ECMO ventilator settings and blood chemistry, complications and survival rates were examined. Categories were stratified by mode: veno-venous (VV), veno-arterial (VA), or conversion. Data was analyzed using SPSS software, with significance considered at p
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