Evidence map›Paper›PMID 36417081›Full record

ReviewWorld journal of pediatrics : WJP2023

Perioperative extracorporeal membrane oxygenation in pediatric congenital heart disease: Chinese expert consensus.

Ru Lin, Wei Wang, Xu Wang, Zhuo-Ming Xu, Jin-Ping Liu, Cheng-Bin Zhou, Xiao-Yang Hong, Xu-Ming Mo, Shan-Shan Shi, Li-Fen Ye and 1 more

Open access · hybridAbstract readVideo-Audio MediaReviewConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Review in World journal of pediatrics : WJP, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.7field-weighted citation impact, top 36% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Importance of extracorporeal membrane oxygenation (ECMO) in congenital heart diseases: a systematic review.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2025
    Review
  6. Observational
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 7 institutions in 1 country.

Ru LinDepartment of Extracorporeal Life Support, Heart Institute, National Clinical Research Center for Child Health, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Wei WangDepartment of Thoracic and Cardiovascular Surgery, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Xu WangDepartment of Pediatric Intensive Care Unit, National Center for Cardiovascular Disease and Fuwai Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.
Zhuo-Ming XuDepartment of Thoracic and Cardiovascular Surgery, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Jin-Ping LiuDepartment of Cardiopulmonary Bypass, National Center for Cardiovascular Disease and Fuwai Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.
Cheng-Bin ZhouDepartment of Cardiovascular Surgery, Guangdong Provincial Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
Xiao-Yang HongPediatric Intensive Care Unit, Faculty of Pediatrics, Chinese PLA General Hospital, Beijing, China.
Xu-Ming MoDepartment of Cardiothoracic, Children's Hospital of Nanjing Medical University, Nanjing, China.
Shan-Shan ShiDepartment of CICU, Heart Institute, National Clinical Research Center for Child Health, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Li-Fen YeDepartment of Extracorporeal Life Support, Heart Institute, National Clinical Research Center for Child Health, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Qiang ShuDepartment of Cardiac Surgery, National Clinical Research Center for Child Health, Children's Hospital, Zhejiang University School of Medicine, Binsheng Road 3333, Hangzhou 310052, China. shuqiang@zju.edu.cn.
Children's Hospital of Zhejiang University · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNChinese PLA General Hospital · CNGuangdong Provincial People's Hospital · CNSecond Affiliated Hospital of Nanjing Medical University · CNShanghai Children's Medical Center · CNShanghai Jiao Tong University · CN

Funding

Fundamental Research Funds for Central Universities of the Central South University +226-2022-00060Key Technology Research and Development Program of Shandong 2021YFC2701700
6 · The paper itself

Abstract

backgroundCongenital heart disease (CHD) is one of the main supportive diseases of extracorporeal membrane oxygenation in children. The management of extracorporeal membrane oxygenation (ECMO) for pediatric CHD faces more severe challenges due to the complex anatomical structure of the heart, special pathophysiology, perioperative complications and various concomitant malformations. The survival rate of ECMO for CHD was significantly lower than other classifications of diseases according to the Extracorporeal Life Support Organization database. This expert consensus aims to improve the survival rate and reduce the morbidity of this patient population by standardizing the clinical strategy.

methodsThe editing group of this consensus gathered 11 well-known experts in pediatric cardiac surgery and ECMO field in China to develop clinical recommendations formulated on the basis of existing evidences and expert opinions.

resultsThe primary concern of ECMO management in the perioperative period of CHD are patient selection, cannulation strategy, pump flow/ventilator parameters/vasoactive drug dosage setting, anticoagulation management, residual lesion screening, fluid and wound management and weaning or transition strategy. Prevention and treatment of complications of bleeding, thromboembolism and brain injury are emphatically discussed here. Special conditions of ECMO management related to the cardiovascular anatomy, haemodynamics and the surgical procedures of common complex CHD should be considered.

conclusionsThe consensus could provide a reference for patient selection, management and risk identification of perioperative ECMO in children with CHD. Video abstract (MP4 104726 kb).

Indexed as

Extracorporeal Membrane OxygenationHeart Defects, CongenitalChildConsensusEast Asian PeopleHeartHumansRetrospective StudiesTreatment OutcomeCirculatory supportCongenital heart diseaseExtracorporeal membrane oxygenationPediatricRespiratory support

Identifiers

PMID36417081
PMCPMC9832091
OpenAlexW4309744442

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.