tailieunhanh - Báo cáo y học: " Experience with use of extracorporeal life support for severe refractory status asthmaticus in children"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Experience with use of extracorporeal life support for severe refractory status asthmaticus in children. | Available online http content 13 2 R29 Research Experience with use of extracorporeal life support for severe refractory status asthmaticus in children Kiran B Hebbar1 Toni Petrillo-Albarano1 Wendy Coto-Puckett1 Micheal Heard3 Peter T Rycus2 and James D Fortenberry1 Open Access Department of Pediatrics Emory University School of Medicine 1405 Clifton Road Atlanta GA 30322 USA 2Extracorporeal Life Support Organization ELSO University of Michigan 503 Thompson Street Ann Arbor MI 48109-1318 USA department of Critical Care Children s Healthcare of Atlanta at Egleston 1405 Clifton Road Atlanta GA 30322 USA Corresponding author Kiran B Hebbar Received 25 Sep 2008 Revisions requested 1 Nov 2008 Revisions received 8 Jan 2009 Accepted 2 Mar 2009 Published 2 Mar 2009 Critical Care 2009 13 R29 doi cc7735 This article is online at http content 13 2 R29 2009 Hebbar et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Severe status asthmaticus SA in children may require intubation and mechanical ventilation with a subsequent increased risk of death. In the patient with SA and refractory hypercapnoeic respiratory failure use of extracorporeal life support ECLS has been anecdotally reported for carbon dioxide removal and respiratory support. We aimed to review the experience of a single paediatric centre with the use of ECLS in children with severe refractory SA and to compare this with international experience from the Extracorporeal Life Support Organization ELSO registry. Methods All paediatric patients aged from 1 to 17 years with primary International Classification of Diseases ICD -9 diagnoses of SA receiving ECLS for respiratory failure from both the .