THE MAIN FACTORS OF ECMO IN THE PEDIATRIC ICU

• Autor(a) principal: Dumont, Fani Elesbão
• Data de Publicação: 2024
• Outros Autores: Nascimento, Thiago Ruam, Leal, Cassiano Richel Ferreira, Amorim, Naila Gabriela Carvalho, Araújo, Ingrid dos Santos, Ohara, Luma Stefania Macri, Sousa, Simone Trajano de Lira, Nascimento, Marcelo Maciel do, Silva, Juan Carlos da, Pereira , Lucas Teotônio, Batista, Daniela Freyre Guerra, Santos, Ana Carolina Silva Mendonça dos
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Brazilian Journal of Implantology and Health Sciences
• Texto Completo: https://bjihs.emnuvens.com.br/bjihs/article/view/1208
• topic: Paciente Pediátrico; Cuidados Intensivos; Oxigenação por Membrana Extracorpórea.; Pediatric Patient; Intensive care; Extracorporeal Membrane Oxygenation.

Although Extracorporeal Membrane Oxygenation (ECMO) provides many benefits in the treatment of critically ill pediatric intensive care patients, having many connectors and access points in the circuit is not without risks. In view of this, the objective was to investigate the complications that are susceptible to pediatric patients using ECMO in the Pediatric Intensive Care Unit and the respective interventions for the recovery of the state of health. To this end, a narrative review of the literature was carried out in the LILACS, MEDLINE and SCIELO databases, in the period 2018-2023. With the results obtained in research, there is evidence of a great interest in Intensive Care Medicine in improving the approach to pediatric patients undergoing ECMO, due to the risk of complications, such as, for example, the presence and/or formation of clots, gas embolism and /or failure of the oxygenator when performing the technique. Such events are associated with the interactions of the blood with the artificial surfaces of the circuit and changes in the blood flow pattern, in addition to a greater number of adverse events related to the prolonged treatment time, but which can be prevented by prioritizing monitoring in two lines of action: monitoring the technique, including cannula care, oxygenator output, oxygenator rotations, oxygenator pressures, circuit temperature, coagulation index, gasometric evaluation in the oxygenator; and patient monitoring by assessing vital parameters and capillary blood glucose, the neurological system, diuresis and blood loss, positioning, as well as ventilatory and gasometric parameters.