Extracorporeal Cardiopulmonary Resuscitation (ECPR) has potential benefits compared to conventional Cardiopulmonary Resuscitation (CCPR) in children. Although no randomised trials for paediatric ECPR have been conducted, there is extensive literature on survival, neurological outcome and risk factors for survival. Based on current literature and guidelines, we suggest recommendations for deployment of paediatric ECPR emphasising the requirement for protocols, training, and timely intervention to enhance patient outcomes. Factors related to outcomes of paediatric ECPR include initial underlying rhythm, CCPR duration, quality of CCPR, medications during CCPR, cannulation site, acidosis and renal dysfunction. Based on current evidence and experience, we provide an approach to patient selection, ECMO initiation and management in ECPR regarding blood and sweep flow settings, unloading of the left ventricle, diagnostics whilst on ECMO, temperature targets, neuromonitoring as well as suggested weaning and decannulation strategies.

中文翻译：

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儿童体外心肺复苏（ECPR）的方法。 EuroELSO 儿科 ECPR 工作组的叙述性审查

与传统心肺复苏 (CCPR) 相比，体外心肺复苏 (ECPR) 对儿童具有潜在的益处。尽管尚未进行儿童 ECPR 的随机试验，但有大量关于生存、神经系统结果和生存危险因素的文献。根据当前的文献和指南，我们提出了部署儿科 ECPR 的建议，强调方案、培训和及时干预的要求，以提高患者的治疗效果。与儿科 ECPR 结局相关的因素包括初始基本心律、CCPR 持续时间、CCPR 质量、CCPR 期间的药物、插管部位、酸中毒和肾功能障碍。根据当前的证据和经验，我们提供了一种在 ECPR 中进行患者选择、ECMO 启动和管理的方法，涉及血液和扫流设置、左心室卸载、ECMO 期间的诊断、温度目标、神经监测以及建议的撤机和拔管策略。