SURGICAL MANAGEMENT OF ACUTE HEART FAILURE IN PEDIATRIC PATIENTS IN EMERGENCY SERVICES. LITERATURE REVIEW

Authors

  • Felipe Eduardo Fagundes Lopes Faculdade de Medicina da UFMG
  • Bruna Aparecida Pires Salgado UFSJ
  • Lucas Seta Ramos Universidade Federal de Uberlândia - UFU
  • Bruna Rosa Silva UNINASSAU de Cacoal
  • Marcelo Oliveira Esteves Universidade Federal de Juiz de Fora
  • Icaro Rodrigues Andrade UFJF
  • Gabriel Francisco Ferrari Peres Universidade Federal de Mato Grosso do Sul (UFMS)
  • Analina de Freitas Azevedo UFPI
  • Cássio Frederico Andrade Henn Hospital Maternidade Mãe Luzia
  • Wanessa Campos Vinhal UFSJ/CCO
  • Carlos de oliveira farias Júnior Universidade Federal Fluminense
  • Valentina Arantes Dantas IMEPAC
  • Joao Pedro Belchior Santos Hospital das Clinicas da UFMG
  • Ana Paula de Aragão Medicina Universidade Brasil
  • Elizete de Fátima Domingues Medicina Universidade BrasilCardio

DOI:

https://doi.org/10.36557/2674-8169.2024v6n8p1783-1791

Keywords:

Cardiac surgery, Pediatrics, Emergency, Care.

Abstract

Objective: Identification and description of the main complications of circulatory support using venoarterial Extracorporeal Membrane Oxygenation in pediatrics (VA-ECMO) in the advanced treatment of Heart Failure (HF). Literature review: HF is a clinical condition characterized by a structural or functional deficiency that affects the function of the ventricles, leading to an inadequacy in meeting the metabolic needs of the tissues. In this sense, the use of Extracorporeal Membrane Oxygenation (ECMO) support is recommended in five scenarios: as a bridge to recovery, bridge to decision, bridge to implantation of long-term devices, bridge to transplantation and destination treatment. Therefore, VA-ECMO support is prescribed to provide cardiac support in patients with or without preserved lung function. Furthermore, during the use of ECMO, complications associated with the treatment arise, which may be due to the patient's clinical status or the device itself. Final considerations: It is clear that this invasive procedure represents one of the most effective options due to its final benefits and favorable results in improving patients.

Downloads

Download data is not yet available.

References

• ABRAMS D, et al. Position paper for the organization of ECMO programs for cardiac failure in adults. Intensive Care Med, 2018; 44: 717-129.

• ARAÚJO I, et al. Ativação de Oxigenação por Membrana Extracorpórea: uma atitude terapêutica a se ponderar. Rev Bras Ter Intensiva, 2019;31(3):282-288.

• AYYILDIZ P, et al. Avaliação de infecções hospitalares em pacientes pediátricos com suporte de oxigenação por membrana extracorpórea. Jornal Brasileiro de Cirurgia Cardiovascular, 2017;32(6):468-474.

• CHAVES RCF, et al. Oxigenação por Membrana Extracorpórea: revisão da literatura, São Paulo. Revista Brasileira de Terapia Intensiva, 2019; 31(3): 410-424.

• COLAFRANCESCHI AS, et al. Assistência Circulatória com Oxigenação por Membrana Extracorpórea (ECMO) no Adulto: um conceito Falido ou Esquecido?. Arquivos Brasileiros de Cardiologia, 2008;91(1):36-41.

• ROHDE LE, et al. Diretriz Brasileira de Insuficiência Cardíaca Crônica e Aguda, Arquivos brasileiros de cardiologia, 2018; 111(3): 436-539.

• DANGERS L, et al. Extracorporeal Membrane Oxygenation for Acute Decompensated Heart Failure. Critical Care Medicine, 2017; 45(8): 1359-1366.

• FREITAS AKE, CIRINO RHD. Manejo ambulatorial da insuficiência cardíaca crônica. Rev Med UFPR [Internet]. 2017;4(3):123-36.

• GUGLIN M, et al. Venoarterial ECMO for Adults. Journal of the American College of Cardiology, 2019; 73(6):698-716.

• JASSERON C, et al. Impact of heart transplantation on Survival in Patients on Venoarterial Extracorporeal Membrane Oxygenation at Listing in France. Transplantation, 2016; 100(9): 1979-1987.

• KATTAN J, et al. Oxigenação por membrana extracorpórea neonatal e pediátrica em países emergentes da América Latina. Jornal de Pediatria, 2017; 93(2): 120-129, 2017.

• LEHLE K, et al. Prevalence of hemolysis and metabolic acidosis in patients with circulatory failure supported with extracorporeal life support: a marker for survival?. European Journal of Heart Failure Supplements, 2017; 19(2): 110- 116.

• LIMA E, et al. Experiência na Utilização de ECMO na Disfunção Primária de Enxerto Pós-Transplante Cardíaco Ortotópico, Brasília. Arquivos Brasileiros de Cardiologia, 2015; 105 (3): 285-291.

• MANGINI S, et al. Insuficiência cardíaca descompensada. Einstein (São Paulo), São Paulo. 2013; 11: 383-391.

• MANGINI S, et al. Transplante Cardíaco: revisão, São Paula. Einstein, 2015; 13(2):310-8.

• MANN DL, et al. Braunwald’s heart disease: a textbook of cardiovascular medicine. 10th ed. Philadelphia: Elsevier, 2015.

• MIANA L, et al. Rational Use of Mechanical Circulatory Support as a Bridge to Pediatric and Congenital Heart Transplantation. Jornal Brasileiro de Cirurgia Cardiovascular, 2018; 33(3): 242-249.

Published

2024-08-13

How to Cite

Lopes , F. E. F., Salgado, B. A. P., Ramos, L. S., Silva, B. R., Esteves, M. O., Andrade, I. R., Peres , G. F. F., Azevedo, A. de F., Henn, C. F. A., Vinhal , W. C., Júnior , C. de oliveira farias, Dantas , V. A., Santos , J. P. B., Aragão, A. P. de, & Domingues, E. de F. (2024). SURGICAL MANAGEMENT OF ACUTE HEART FAILURE IN PEDIATRIC PATIENTS IN EMERGENCY SERVICES. LITERATURE REVIEW. Brazilian Journal of Implantology and Health Sciences, 6(8), 1783–1791. https://doi.org/10.36557/2674-8169.2024v6n8p1783-1791