Extracorporeal Membrane Oxygenation in Patients with Complex Congenital Heart Disease

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  • IWASAKI Tatsuo
    Department of Pediatric Anesthesiology, Okayama University Hospital
  • KANAZAWA Tomoyuki
    Department of Anesthesiology and Resuscitology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • SHIMIZU Kazuyoshi
    Department of Anesthesiology and Resuscitology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • KAWASE Hirokazu
    Department of Anesthesiology and Resuscitology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • MORIMATSU Hiroshi
    Department of Anesthesiology and Resuscitology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • KASAHARA Shingo
    Department of Cardiovascular Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences

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  • 小児複雑心奇形の周術期におけるECMO治療

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<p>The issue of extracorporeal membrane oxygenation in patients with complex congenital heart disease is indispensable for discussing ECMO in the pediatric population. Although a clear consensus is lacking on the proper indication of ECMO in this population, induction of ECMO should be considered earlier when hemodynamics are unstable to avoid circulatory collapse. Hemorrhagic complication is not rare and should be treated with supplemental treatment according to its etiology. Aggressive systemic ventricle decompression should be considered for better and earlier systemic ventricle functional recovery. Better ECMO management in patients with characteristic single ventricle of complex congenital heart disease requires a better understanding of the unique physiology of patients with single ventricle, and ECMO management specific to the physiology of each patient is required.</p>

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