SCCM Resource Library-Pediatric ECMO: Toward Better Processes and Outcomes

Video Transcription

Video Summary

The video transcript discusses the topic of anticoagulation transfusion and the unique challenges it presents in different patient populations, particularly in neonates and children. The speaker highlights the importance of understanding developmental hemostasis and how it differs from adult hemostasis. The transcript goes on to explain the evolution of the hemostatic system from birth to adulthood, with a focus on coagulation factor levels and regulation. The speaker emphasizes the need for individualized anticoagulation strategies in pediatric patients, as well as the importance of monitoring both anticoagulant effect and whole blood hemostatic function. The transcript also discusses the use of blood products, such as platelets, FFP, cryoprecipitate, and prothrombin complex concentrate, in the management of patients on ECMO. The importance of neurologic outcomes and long-term quality of life in ECMO survivors is also discussed, with a focus on the impact of acute neurologic injury and the need for monitoring and assessment. The transcript concludes by discussing strategies to improve outcomes in ECMO survivors, including neurologic monitoring, prompt treatment of seizures, and general ICU care practices. The importance of rehabilitation and long-term follow-up is emphasized, along with the need for individualized care plans based on specific patient populations and conditions.

Asset Subtitle

Pediatrics, Procedures, 2021

Asset Caption

The Society of Critical Care Medicine's Critical Care Congress features internationally renowned faculty and content sessions highlighting the most up-to-date, evidence-based developments in critical care medicine. This is a presentation from the 2021 Critical Care Congress held virtually from January 31-February 12, 2021.

Optimization of Anticoagulation and Transfusion Strategies for Children on ECMO
Gail M. Annich

It's All About Long-Term ECMO Outcomes
Melania Bembea

Meta Tag

Content Type Presentation

Knowledge Area Pediatrics

Knowledge Area Procedures

Knowledge Level Advanced

Membership Level Select

Tag Extracorporeal Membrane Oxygenation ECMO

Tag Cardiothoracic Critical Care

Year 2021

Keywords

anticoagulation transfusion

neonates

developmental hemostasis

pediatric patients

ECMO management

neurologic outcomes

individualized care plans

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