Extracorporeal Support in @entity1 With Pediatric Acute Respiratory Distress Syndrome: Proceedings From the Pediatric XXXX Consensus Conference.

@entity1 @entity649 @entity647
OBJECTIVE: Extracorporeal life support has undergone a revolution in the past several years with the advent of new, miniaturized equipment and success in supporting @entity1 with a variety of illnesses. Most experience has come with the use of extracorporeal membrane oxygenation, a modified form of cardiopulmonary bypass that can support the heart, lungs, and circulation for days to months at a time. To describe the recommendations for the use of extracorporeal membrane oxygenation in @entity1 with @entity649 based on a review of the literature and expert opinion. DESIGN: Consensus conference of experts in pediatric @entity647 . METHODS: A panel of 27 experts met over the course of 2 years to develop a @entity649 and to make recommendations regarding treatment and research priorities. The extracorporeal support subgroup comprised two international experts. When published data were lacking, a modified Delphi approach emphasizing strong professional agreement was used. RESULTS: The Pediatric @entity647 Consensus Conference experts developed and voted on a total of 151 recommendations addressing the topics related to @entity649 , 11 of which related to extracorporeal support. All recommendations had agreement, with 10 recommendations (91%) achieving strong agreement. These recommendations included the utilization of extracorporeal support for reversible causes of @entity649 , consideration of quality of life when making the decision to use extracorporeal support, and the use of the Extracorporeal Life Support Organization registry to report all extracorporeal support activity, among others. CONCLUSIONS: Pediatric extracorporeal membrane oxygenation for @entity649 could benefit from more specific data collection and collaboration of focused investigators to establish validated criteria for optimal application of extracorporeal membrane oxygenation and @entity1 management protocols. Until that time, consensus opinion offers some insight into guidelines.
