Abstract
Introduction. Detection of hospital mortality predictors and factors associated with favorable outcome of extracorporeal
membrane oxygenation (ECMO) is a key to understanding of the processes occurring in the organism
of the patient. This in its turn results in controllability and reversibility of pathologic processes developed during
ECMO procedure.
Material and methods. This paper is based on assessment and treatment results of 42 (0.49%) patients operated
on during the period between 2005 and 2010. ECMO technique was used after cardiosurgical interventions.
Indication to ECMO procedure was impossibility to disconnect a patient from heart-lung machine after the surgery.
Results. 12 (28%) patients were successfully disconnected from ECMO and discharged from the clinic in satisfactory
state. 30 (72%) patients died (21 patients died during ECMO procedure and 9 - after decannulation).
Hospital mortality predictors were: high concentrations of blood loss level, high demand of inotropic support,
lactate, creatinine, urea, and markers cytolysis. Predictors of successful treatment outcome were higher parameters
values of central hemodynamics and diuresis rate.
Conclusions. ECMO plays an important part in the treatment of children with low ejection fraction following
heart surgery. About a quarter of patients with cardiopulmonary decompensation could be cured due to extracorporeal
life support.
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