☆ 4.7 Article

Ambulatory ECMO as a Bridge to Lung Transplant in a Previously Well Pediatric Patient With ARDS

PEDIATRICS (2014)

Journal

PEDIATRICS

Volume 134, Issue 2, Pages E583-E585

Publisher

AMER ACAD PEDIATRICS

DOI: 10.1542/peds.2013-3435

Keywords

extracorporeal membrane oxygenation; lung transplant; rehabilitation; acute respiratory distress syndrome; acute lung injury; air leak; pneumothorax; ambulation; physical therapy; respiratory failure; pediatric

Categories

Pediatrics

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Abstract

Extracorporeal membrane oxygenation (ECMO) is increasingly implemented in patients with end-stage pulmonary disease as a bridge to lung transplant. Several centers have instituted an approach that involves physical rehabilitation and ambulation for patients supported with ECMO. Recent reports describe the successful use of ambulatory ECMO in patients with chronic respiratory illnesses being bridged to lung transplant. We describe the first case of a previously healthy pediatric patient with acute respiratory failure successfully supported with ambulatory ECMO as a bridge to lung transplant after an unsuccessful bridge to recovery. Although there are challenges associated with awake and ambulatory ECMO in children, this strategy represents an exciting breakthrough and a potential paradigm shift in ECMO management for pediatric acute respiratory failure.

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