Use of extracorporeal membrane oxygenation (ECMO) in children receiving haematopoietic cell transplantation (HCT) and immune effector cell therapy is controversial and evidence-based guidelines have not been established. Remarkable advancements in HCT and immune effector cell therapies have changed expectations around reversibility of organ dysfunction and survival for affected patients. Herein, members of the Extracorporeal Life Support Organization (ELSO), Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Network (HCT and cancer immunotherapy subgroup), the Pediatric Diseases Working Party of the European Society for Blood and Marrow Transplantation (EBMT), the supportive care committee of the Pediatric Transplantation and Cellular Therapy Consortium (PTCTC), and the Pediatric Intensive Care Oncology Kids in Europe Research (POKER) group of the European Society of Pediatric and Neonatal Intensive Care (ESPNIC) provide consensus recommendations on the use of ECMO in children receiving HCT and immune effector cell therapy. These are the first international, multidisciplinary consensus-based recommendations on the use of ECMO in this patient population. This Review provides a clinical decision support tool for paediatric haematologists, oncologists, and critical care physicians during the difficult decision-making process of ECMO candidacy and management. These recommendations can represent a base for future research studies focused on ECMO selection criteria and bedside management.

Di Nardo, M., Ahmad, A. H., Merli, P., Zinter, M. S., Lehman, L. E., Rowan, C. M., Steiner, M. E., Hingorani, S., Angelo, J. R., Abdel-Azim, H., Khazal, S. J., Shoberu, B., Mcarthur, J., Bajwa, R., Ghafoor, S., Shah, S. H., Sandhu, H., Moody, K., Brown, B. D., Mireles, M. E., Steppan, D., Olson, T., Raman, L., Bridges, B., Duncan, C. N., Choi, S. W., Swinford, R., Paden, M., Fortenberry, J. D., Peek, G., Tissieres, P., De Luca, D., Locatelli, F., Corbacioglu, S., Kneyber, M., Franceschini, A., Nadel, S., Kumpf, M., Loreti, A., Wosten-Van Asperen, R., Gawronski, O., Brierley, J., Maclaren, G., Mahadeo, K. M., Extracorporeal membrane oxygenation in children receiving haematopoietic cell transplantation and immune effector cell therapy: an international and multidisciplinary consensus statement, <<THE LANCET CHILD & ADOLESCENT HEALTH>>, 2022; 6 (2): 116-128. [doi:10.1016/S2352-4642(21)00336-9] [https://hdl.handle.net/10807/228196]

Extracorporeal membrane oxygenation in children receiving haematopoietic cell transplantation and immune effector cell therapy: an international and multidisciplinary consensus statement

Locatelli, Franco;
2022

Abstract

Use of extracorporeal membrane oxygenation (ECMO) in children receiving haematopoietic cell transplantation (HCT) and immune effector cell therapy is controversial and evidence-based guidelines have not been established. Remarkable advancements in HCT and immune effector cell therapies have changed expectations around reversibility of organ dysfunction and survival for affected patients. Herein, members of the Extracorporeal Life Support Organization (ELSO), Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Network (HCT and cancer immunotherapy subgroup), the Pediatric Diseases Working Party of the European Society for Blood and Marrow Transplantation (EBMT), the supportive care committee of the Pediatric Transplantation and Cellular Therapy Consortium (PTCTC), and the Pediatric Intensive Care Oncology Kids in Europe Research (POKER) group of the European Society of Pediatric and Neonatal Intensive Care (ESPNIC) provide consensus recommendations on the use of ECMO in children receiving HCT and immune effector cell therapy. These are the first international, multidisciplinary consensus-based recommendations on the use of ECMO in this patient population. This Review provides a clinical decision support tool for paediatric haematologists, oncologists, and critical care physicians during the difficult decision-making process of ECMO candidacy and management. These recommendations can represent a base for future research studies focused on ECMO selection criteria and bedside management.
2022
Inglese
Di Nardo, M., Ahmad, A. H., Merli, P., Zinter, M. S., Lehman, L. E., Rowan, C. M., Steiner, M. E., Hingorani, S., Angelo, J. R., Abdel-Azim, H., Khazal, S. J., Shoberu, B., Mcarthur, J., Bajwa, R., Ghafoor, S., Shah, S. H., Sandhu, H., Moody, K., Brown, B. D., Mireles, M. E., Steppan, D., Olson, T., Raman, L., Bridges, B., Duncan, C. N., Choi, S. W., Swinford, R., Paden, M., Fortenberry, J. D., Peek, G., Tissieres, P., De Luca, D., Locatelli, F., Corbacioglu, S., Kneyber, M., Franceschini, A., Nadel, S., Kumpf, M., Loreti, A., Wosten-Van Asperen, R., Gawronski, O., Brierley, J., Maclaren, G., Mahadeo, K. M., Extracorporeal membrane oxygenation in children receiving haematopoietic cell transplantation and immune effector cell therapy: an international and multidisciplinary consensus statement, <<THE LANCET CHILD & ADOLESCENT HEALTH>>, 2022; 6 (2): 116-128. [doi:10.1016/S2352-4642(21)00336-9] [https://hdl.handle.net/10807/228196]
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10807/228196
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 13
  • ???jsp.display-item.citation.isi??? 10
social impact