Table 5.
ECMO Rates of Select Complications (Per 1,000 ECMO Hours) by Support Type, Pediatric, 2017–2022
Complication | Respiratory | Cardiac | ECPR |
---|---|---|---|
Cannula problems | 0.534 | 0.424 | 0.748 |
Air in circuit | 0.152 | 0.171 | 0.202 |
Circuit change | 0.636 | 0.621 | 0.554 |
Clots and air emboli | 0.025 | 0.025 | 0.016 |
Thrombosis in circuit component | 0.545 | 0.816 | 0.775 |
Renal Replacement Therapy | 0.875 | 1.515 | 2.074 |
Cannula site bleeding | 0.343 | 1.006 | 1.097 |
Surgical site bleeding | 0.227 | 0.850 | 0.631 |
GI hemorrhage | 0.123 | 0.137 | 0.264 |
Tamponade (blood) | 0.064 | 0.175 | 0.136 |
CNS hemorrhage by US/CT/MRI | 0.179 | 0.331 | 0.695 |
CNS infarction by US/CT/MRI | 0.097 | 0.256 | 0.636 |
Seizures (clinical or on EEG) | 0.134 | 0.311 | 1.283 |
Brain death | 0.054 | 0.094 | 0.492 |
Hemolysis (all types) | 1.039 | 0.983 | 1.017 |
Limb Ischemia | 0.021 | 0.102 | 0.130 |
Compartment Syndrome | 0.009 | 0.031 | 0.064 |
Fasciotomy | 0.021 | 0.066 | 0.104 |
Amputation | 0.010 | 0.023 | 0.013 |
CNS, central nervous system; CT, computed tomography; dL, deciliter; ECPR, extracorporeal cardiopulmonary resuscitation; EEG, electroencephalogram; GI, gastrointestinal; mg, milligram; MRI, magnetic resonance imaging; US, ultrasound; WBC, white blood cell.