BACKGROUND: Guidelines regarding arterial cannula site and cannula site-specific @entity149 for pediatric @entity1 requiring extracorporeal membrane oxygenation (ECMO) support are lacking. We reviewed cannulation trends for pediatric @entity1576 and evaluated CNS complication rates by cannulation site and mode of support. METHODS: The Extracorporeal Life Support Organization (ELSO) registry was queried for all pediatric @entity1576 @entity1 <18 years treated from 1993-2007. The primary outcome was radiographic evidence of @entity149 . RESULTS: Venoarterial (VA) support was used in 62% of 2617 ECMO runs. The carotid artery was used in 93% of VA @entity1 . Femoral artery use increased in @entity1 >5 years of age and >20 kg. Venovenous (VV) ECMO was used in >50% of @entity1 >10 years. No significant difference was identified in @entity149 between carotid and femoral cannulation in any age group but the femoral group was small (4.4%). VA support was independently associated with increased odds of @entity149 compared to VV cannulation (OR, 1.6). CONCLUSION: VA ECMO is the most common mode of support in pediatric @entity1576 @entity1 . Although no significant difference in @entity149 was noted between carotid and femoral artery cannulation, the odds of injury were significantly higher than VV support.

Extracorporeal membrane oxygenation cannulation trends for pediatric XXXX .

@entity1 :: ('9606', 'Species') :: ['children', 'patients'] @entity149 :: ('MESH:D002493', 'Disease') :: ['risks of central nervous system (CNS) injury', 'CNS injury'] @entity1576 :: ('MESH:D012131', 'Disease') :: ['respiratory failure']
@entity1576 :: (MESH:D012131,Disease) :: ['respiratory failure and central nervous system injury']
