ASAIO J 2021 Jul 22. Epub 2021 Jul 22.
From the Department of Intensive Care and Pediatric Surgery, Erasmus MC-Sophia Children's Hospital University Medical Center Rotterdam, Rotterdam, The Netherlands Department of Pediatric Surgery/IC Children and Child and Adolescent Psychiatry/Psychology, Erasmus MC-Sophia Children's Hospital, Rotterdam, The Netherlands Division of Neurosciences, Le Bonheur Children's Hospital, University of Tennessee Health Science Center, Memphis, Tennessee Division of Pediatric Critical Care, Le Bonheur Children's Hospital, University of Tennessee Health Science Center, Memphis, Tennessee Heart and Lung Directorate, Great Ormond Street Hospital for Children NHS Foundation Trust and NIHR Great Ormond Street Hospital Biomedical Research Centre, London, United Kingdom Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Texas National University Health System, Singapore Department of Surgery, University of Florida, Gainesville, Florida Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland Department of Critical Care Medicine, SickKids Research Institute, The Hospital for Sick Children, University of Toronto, Canada.
Neonates and children who have survived critical illness severe enough to require extracorporeal membrane oxygenation (ECMO) are at risk for neurologic insults, neurodevelopmental delays, worsening of underlying medical conditions, and development of new medical comorbidities. Structured neurodevelopmental follow-up is recommended for early identification and prompt interventions of any neurodevelopmental delays. Even children who initially survive this critical illness without new medical or neurologic deficits remain at risk of developing new morbidities/delays at least through adolescence, highlighting the importance of structured follow-up by personnel knowledgeable in the sequelae of critical illness and ECMO. Read More