Abstract | OBJECTIVE: METHODS: Forty-three consecutive patients who underwent tracheal reconstruction without intra-cardiac repair for congenital tracheal stenosis at Kobe Children's Hospital between January 2000 and August 2012 were enrolled in this retrospective study. They were divided into two groups according to intra-operative extracorporeal cardiopulmonary support [CPB (n = 17) or ECMO (n = 26)]. Peri-operative variables were compared between the two groups. RESULTS: The CPB and ECMO groups had similar patient and operative characteristics. However, the CPB group required larger priming volume and higher doses of total heparin injection. Although the ECMO group exhibited less peri-operative bleeding and lower red blood cell requirement, there were no statistically significant differences between the two groups. Compared to the ECMO group, patients in the CPB group had significantly less positive fluid balance during surgery and in the first 24 h after surgery, and exhibited a trend towards higher ratios of PO2 to the fraction of inspired oxygen and lower PCO2 at the time of ICU admission and on post-operative day 1. CONCLUSIONS: Pediatric tracheal reconstruction should be performed with intra-operative CPB or ECMO, after considering the advantages of utilizing each extracorporeal cardiorespiratory support type according to the patient's specific condition and situation.
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Authors | Tomomi Hasegawa, Yoshihiro Oshima, Hironori Matsuhisa, Yuichi Okata, Akiko Yokoi, Shinji Yokoyama, Kosaku Maeda |
Journal | Pediatric surgery international
(Pediatr Surg Int)
Vol. 32
Issue 11
Pg. 1029-1036
(Nov 2016)
ISSN: 1437-9813 [Electronic] Germany |
PMID | 27344586
(Publication Type: Journal Article)
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Topics |
- Cardiopulmonary Bypass
(methods)
- Child
- Child, Preschool
- Constriction, Pathologic
(surgery)
- Extracorporeal Membrane Oxygenation
(methods)
- Female
- Humans
- Infant
- Intraoperative Care
(methods)
- Male
- Pediatrics
(methods)
- Plastic Surgery Procedures
(methods)
- Retrospective Studies
- Therapeutic Equivalency
- Trachea
(abnormalities, surgery)
- Treatment Outcome
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