INTRAOPERATIVE APPLICATIONS OF EXTRACORPOREAL MEMBRANE OXYGENATION IN CHILDREN WITH CONGENITAL TRACHEAL MALFORMATION

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Abstract

Treatment of children with congenital tracheal stenosis is still a pressing issue both for surgeons and intensivists. Initially the interventions were performed in the setting of one-lung ventilation (OVL) using artificial circulation and in some cases extra-corporeal membrane oxygenation (ECMO) was applied. N.F. Filatov Children’s State Clinical Hospital No. 13 was the first hospital in Russia where 5 surgeries in children with developmental defects of trachea and bronchi who received ECMO intraoperatively were performed in 2013-2014. The intraoperative use of ECMO was essential due to several reasons: first, patients with congenital tracheal stenosis often suffer from inflammatory diseases of the lungs and upper respiratory tracts which in its turn leads to parenchymal insufficiency; second, tests with the usage of one-lung artificial ventilation show a considerable decrease in oxygenation and oxygen tension in the blood in this group of patients.

About the authors

I. I. Afukov

State Educational Institution of Higher Professional Education ‘Pirogov Russian National Research Medical University; State-Financed Health Institution ‘N.F. Filatov Children's Municipal Clinical Hospital No. 13'

Author for correspondence.
Email: Afukovdoc@yandex.ru
Russian Federation

A. Yu. Razumovsky

State Educational Institution of Higher Professional Education ‘Pirogov Russian National Research Medical University; State-Financed Health Institution ‘N.F. Filatov Children's Municipal Clinical Hospital No. 13'

Email: 1595105@mail.ru
Russian Federation

S. M. Stepanenko

State Educational Institution of Higher Professional Education ‘Pirogov Russian National Research Medical University

Email: steven54@mail.ru
Russian Federation

O. S. Geodakyan

State-Financed Health Institution ‘N.F. Filatov Children's Municipal Clinical Hospital No. 13'

Email: Osgeodakyan@yandex.ru
Russian Federation

A. D. Kulaev

State-Financed Health Institution ‘N.F. Filatov Children's Municipal Clinical Hospital No. 13'

Email: kulaevart@gmail.com
Russian Federation

P. E. Biryukov

State-Financed Health Institution ‘N.F. Filatov Children's Municipal Clinical Hospital No. 13'

Email: petr21-rgmu@mail.ru
Russian Federation

N. S. Stepanenko

State Educational Institution of Higher Professional Education ‘Pirogov Russian National Research Medical University

Email: n1k1tk@yandex.ru
Russian Federation

References

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Copyright (c) 2014 Afukov I.I., Razumovsky A.Y., Stepanenko S.M., Geodakyan O.S., Kulaev A.D., Biryukov P.E., Stepanenko N.S.

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