PDF(Pubmed)
Abstract：
Refractory pediatric intraoperative cardiac arrest is a rare but challenging situation for the anesthesiologist. This case describes an intraoperative extracorporeal cardiopulmonary resuscitation (ECPR) in a 16-year-old male who suffered a sudden cardiac arrest during elective thoracolumbar stabilization. The patient recovered to his pre-operative baseline without any neurological sequela secondary to cardiac arrest. Good quality of conventional resuscitation measures, prompt activation of the extracorporeal membrane oxygenation (ECMO) team, and a multidisciplinary coordinated approach were key factors in ECPR success. Despite the lack of robust evidence in pediatrics, case reports like ours outline the life-saving potential of intraoperative ECPR in refractory cardiac arrest scenarios.
摘要：
难治性小儿术中心脏骤停对于麻醉师来说是一种罕见但具有挑战性的情况。此病例描述了一名16岁男性的术中体外心肺复苏（ECPR），该男性在选择性胸腰椎稳定期间突然心脏骤停。患者恢复到术前基线，没有任何继发于心脏骤停的神经系统后遗症。常规复苏措施质量好，迅速激活体外膜氧合（ECMO）团队，多学科协调方法是ECPR成功的关键因素。尽管儿科缺乏有力的证据，像我们这样的病例报告概述了术中ECPR在难治性心脏骤停情况下的挽救生命的潜力.
