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Perfusion NewswireECMO ZoneExtracorporeal Membrane Oxygenation in Children With COVID-19: Preliminary Report from The Collaborative Euroelso Prospective Survey

Extracorporeal Membrane Oxygenation in Children With COVID-19: Preliminary Report from The Collaborative Euroelso Prospective Survey

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Since the declaration of the SARS-CoV-2 pandemic , a small percentage of children with COVID19 infection have required intensive care unit (ICU) admission with an even smaller percentage needing extracorporeal membrane oxygenation (ECMO) support. To provide contemporaneous data on ECMO utilization and activity during the COVID-19 pandemic, the European chapter of the Extracorporeal Life Support Organization (EuroELSO) established a prospective survey among European neonatal and pediatric centers from the 15th of March to the end of June 2020. The survey was approved by the Maastricht University Medical Centre Ethics Committee. Centers reported anonymized data weekly through the EuroELSO website (www.euroelso.org). We report the preliminary data from 52 neonatal and pediatric ECMO centers across Europe during the first wave of the Covid-19 pandemic.

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Is Extracorporeal Membrane Oxygenation the Standard Care for Acute Respiratory Distress Syndrome: A Systematic Review and Meta-Analysis

Compared with CMV, ECMO contributed to lower 60-day and 1-year mortality, and increased ICU mortality in patients with ARDS. However, H1N1 ARDS was independently associated with higher ICU mortality and nosocomial pneumonia. The results were not affected by removing retrospective control studies or articles published >20 years ago from the sensitivity analysis. This meta-analysis demonstrates the effectiveness of ECMO and its importance in standard treatment of patients with ARDS.

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