INTRAOPERATIVE APPLICATIONS OF EXTRACORPOREAL MEMBRANE OXYGENATION IN CHILDREN WITH CONGENITAL TRACHEAL MALFORMATION
I. I. Afukov , A. Yu. Razumovsky , S. M. Stepanenko , O. S. Geodakyan , A. D. Kulaev , P. E. Biryukov , N. S. Stepanenko
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care ›› 2014, Vol. 4 ›› Issue (4) : 68 -73.
INTRAOPERATIVE APPLICATIONS OF EXTRACORPOREAL MEMBRANE OXYGENATION IN CHILDREN WITH CONGENITAL TRACHEAL MALFORMATION
Treatment of children with congenital tracheal stenosis is still a pressing issue both for surgeons and intensivists. Initially the interventions were performed in the setting of one-lung ventilation (OVL) using artificial circulation and in some cases extra-corporeal membrane oxygenation (ECMO) was applied. N.F. Filatov Children’s State Clinical Hospital No. 13 was the first hospital in Russia where 5 surgeries in children with developmental defects of trachea and bronchi who received ECMO intraoperatively were performed in 2013-2014. The intraoperative use of ECMO was essential due to several reasons: first, patients with congenital tracheal stenosis often suffer from inflammatory diseases of the lungs and upper respiratory tracts which in its turn leads to parenchymal insufficiency; second, tests with the usage of one-lung artificial ventilation show a considerable decrease in oxygenation and oxygen tension in the blood in this group of patients.
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Afukov I.I., Razumovsky A.Y., Stepanenko S.M., Geodakyan O.S., Kulaev A.D., Biryukov P.E., Stepanenko N.S.
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