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Pediatr Emerg Care. 1999 Feb;15(1):30-2.

Emergency cardiopulmonary bypass for cardiac arrest refractory to pediatric advanced life support.

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Division of Pediatric Critical Care, Children's Hospital, Medical University of South Carolina, Charleston 29425-3305, USA.


We report the application of emergent cardiopulmonary bypass (CPB) for three pediatric patients in the cardiac catheterization laboratory with cardiac arrest who did not respond to conventional resuscitation efforts. All three patients had return of baseline prearrest rhythms within minutes of the initiation of artificial cardiopulmonary support and the return of spontaneous circulation upon weaning CPB. Two patients had normal neurologic outcomes despite an interval of over 30 minutes from arrest to CPB. The continued judicious application and study of this technology in a small subpopulation of pediatric cardiac arrest patients is warranted.

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