title: The Use of Extracorporeal Membrane Oxygenation-Cardiopulmonary Resuscitation in Prolonged Cardiac Arrest in Pediatric Patients: Is it Time to Expand It?
abstract: Extracorporeal membrane oxygenation was instituted as an aid to in-hospital cardiopulmonary resuscitation (E-CPR) nearly 23 years ago, this led to remarkable improvement in survival considering the mortality rate associated with conventional cardiopulmonary resuscitation (CPR). Given this success, one begins to wonder whether the time has come for expanding the use of E-CPR to outside hospital cardiac arrests especially in the light of development of newer extracorporeal life support devices that are small, mobile, and easy to assemble. This editorial will review recent studies on this subject and address some key guidelines and limitations of this evolving and promising technology.
authors.affiliation: From the Department of Pediatric Cardiology, Pediatric Critical Care and Cardiothoracic Surgery, Le Bonheur Children's Hospital, University of Tennessee, Memphis, TN.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Absi
authors.forename: Susheel Tk
authors.initials: ST
authors.lastname: Kumar
authors.forename: Hitesh
authors.initials: H
authors.lastname: Sandhu
mesh_terms: D016887:Cardiopulmonary Resuscitation / Q000379:methods / Q000401:mortality / Q000592:standards*; D002648:Child; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods / Q000706:statistics & numerical data*; D005260:Female; D006323:Heart Arrest / Q000453:epidemiology* / Q000401:mortality / Q000628:therapy; D006801:Humans; D009205:Myocarditis / Q000175:diagnosis / Q000628:therapy; D000070316:Pediatric Emergency Medicine / Q000592:standards*; D015996:Survival Rate / Q000639:trends; D016896:Treatment Outcome