Venoarterial extracorporeal membrane oxygenation support for neonatal and pediatric refractory septic shock: more than 15  years of learning

Conclusion: Patients with refractory septic shock should be transferred precociously to a referral ECMO center. However, therapy should be used with caution in patients with vasoplegic pattern shock orS. pneumoniae sepsis.What is Known:•Children with refractory septic shock have significant mortality rates, and although ECMO is recommended, overall survival is low.•There are no studies regarding characteristics of infections as predictors of pediatric survival in ECMO.What is New:•Septic children should be transferred precociously to referral ECMO centers during the first hours if patients do not respond to conventional therapy.•Treatment should be used with caution in patients with vasoplegic pattern shock or S. pneumoniae sepsis.
Source: European Journal of Pediatrics - Category: Pediatrics Source Type: research