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Çocuklarda kalp ve akciğer desteği

Cardiopulmonary support in children

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Abstract (2. Language): 
Intraaortic balloon pumping is firstly, and ventricular assist heart devices are secondly used in emergency situations of adults. In children, however, isolated left ventricular failure is rare, and right ventricular failure with the contribution of pulmonary hypertension and hypoxemia is more common. Due to these physiological effects, the use of intraaortic balloon pumping and left ventricular assist heart devices which provide isolated support of the left ventricle is limited in children. Extracorporeal membrane oxygenation provides biventricular support in cases in whom medical treatment is inadequate. This review will focus on extracorporeal membran oxygenation that are used for emergency cardiac support in children. Ventricular assist heart devices and intraaortic balloon pumping will be reviewed as well.
Abstract (Original Language): 
Yetişkin hastaların acil durumlarında intraaortik balon ilk öncelikle tercih edilirken, ikinci sırada ventriküler yardımcı kalp cihazları kullanılmaktadır. Çocuklarda izole sol ventrikül yetmezliği nadir görülürken, sağ ventrikül yetmezliği pulmoner hipertansiyon ve hipokseminin katkısıyla daha sıklıkla görülmektedir. Bu fizyolojik etkilerden dolayı sol ventrikülün tek başına desteklenmesini sağlayan intraaortik balon pompası ve sol ventriküler yardımcı kalp cihazlarının çocuklarda kullanımı sınırlıdır. Ekstrakorporeal membran oksijenasyonu ise tıbbi tedavinin yetersiz kaldığı vakalarda hem sağ, hem de sol ventrikül desteği sağlar. Bu derlemede çocuklarda, acil kardiyak desteğin sağlanması için ekstrakorporeal membran oksijenizasyonu kullanımı üzerinde durulacaktır. Bunun yanısıra ventriküler yardımcı kalp cihazları ve intraaortik balon pompası konuları da gözden geçirilecektir.
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