Extracorporeal membrane oxygenator for atrial septal defect

• Published in: Annals of cardiac anaesthesia Vol. 17; no. 2; pp. 175 - 176
• Main Authors: Tailor, Kamlesh, Kadam, Shankar, Kattana, Hari Bipin, Rao, Suresh
• Format: Journal Article
• Language: English
• Published: India Medknow Publications Pvt Ltd 01-04-2014; Medknow Publications and Media Pvt. Ltd; Medknow Publications & Media Pvt. Ltd; Wolters Kluwer Medknow Publications
• Subjects: Atrial septal defects; Bacterial infections; Blood oxygenation, Extracorporeal; Care and treatment; Child, Preschool; Diagnosis; Extracorporeal Membrane Oxygenation - methods; Fever - etiology; Fever - therapy; Health aspects; Heart Septal Defects, Atrial - surgery; Heart Septal Defects, Atrial - therapy; Humans; Infections; Male; Oxygenators, Membrane; Pediatrics; Postoperative Care; Postoperative Complications - etiology; Postoperative Complications - therapy; Postoperative period; Surgery; Surgical apparatus & instruments; India
• ISSN: 0971-9784; 0974-5181
• DOI: 10.4103/0971-9784.129890

At 7 h after extubation, the patient developed high-grade fever (103F) and thrombocytopenia (66,000/μL) with total leucocytes count 20,790/μL. The peripheries became cold and arterial blood gases showed metabolic acidosis and high lactate level. [1] Fever is associated with the metabolic response to trauma, systemic inflammatory response to CPB, hypothermia, presence of drainage tubes, drugs, blood transfusion and infections. [...]With the ECMO support and IVIG, we could prevent an adverse outcome in one of the simple procedure in current era of pediatric cardiac surgery.