Faculty Collaboration Database

Survival after prolonged pediatric extracorporeal membrane oxygenation support for adenoviral pneumonia. J Pediatr Surg 2008 Aug;43(8):e9-e11

Date

08/05/2008

Pubmed ID

18675627

DOI

10.1016/j.jpedsurg.2008.03.065

Scopus ID

2-s2.0-48149109781 (requires institutional sign-in at Scopus site)   10 Citations

Abstract

Adenoviral pneumonia can cause significant pulmonary morbidity leading to extracorporeal membrane oxygenation (ECMO) rescue. Reported survival of adenoviral pneumonia requiring ECMO has been poor, and prolonged time on ECMO is associated with increased mortality. We present 2 pediatric cases of adenoviral pneumonia in patients who survived after greater than 30 days on ECMO and review the Extracorporeal Life Support Organization (ELSO) registry to describe the collective experience of children with viral pneumonia requiring prolonged ECMO. Although survival has improved over the past decade for pediatric adenoviral pneumonia, the ELSO database previously has had no surviving children reported with a primary diagnosis of adenovirus after more than 4 weeks on ECMO. Our experience suggests that there may be use for prolonged ECMO support in children despite severe adenoviral pneumonia.

Author List

Allibhai TF, Spinella PC, Meyer MT, Hall BH, Kofos D, DiGeronimo RJ

Author

Michael T. Meyer BS, MS, MD Chief, Professor in the Pediatrics department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adenovirus Infections, Human
Anti-Bacterial Agents
Child, Preschool
Extracorporeal Membrane Oxygenation
Female
Follow-Up Studies
Humans
Infant
Pneumonia, Viral
Risk Assessment
Severity of Illness Index
Time Factors
Treatment Outcome
Ventilator Weaning