Multiple organ system extracorporeal support in critically ill children.
Multiple organ system extracorporeal support effectively supports brain, heart, lung, liver, kidney, coagulation, red blood cell, and immune cell function in the sickest infants and children who have multiple organ system failure. These therapies have optimum benefit if: (1) the underlying disease is reversible; (2) the therapies are performed expertly and are monitored to prevent and minimize systemic hemolysis; and (3) the therapies are provided in a goal-directed manner. These therapies represent a significant advance in pediatric critical care medicine. This article provides a framework for this multidisciplinary team approach for implementing these therapies.
Carcillo
Joseph A
JA
Pediatric Critical Care, Children's Hospital of Pittsburgh, 3705 Fifth Ave., Pittsburgh, PA 15213, USA. carcilloja@ccm.upmc.edu
D002648:Child; D016638:Critical Illness / Q000628:therapy*; D005112:Extracorporeal Circulation / Q000379:methods*; D006801:Humans; D008021:Life Support Systems / Q000295:instrumentation*; D009102:Multiple Organ Failure / Q000628:therapy; D016896:Treatment Outcome