Brooke Summers
Research Mentor(s): Irene Carter
Mentor Department: Pediatric Surgery Section
Authors: Brooke Summers, Irene Carter, Molly Umansky, Madeline Block, Samir Gadepalli
Session: Session 3 (11:00am – 11:50am)
Presentation Type: Poster 41
Abstract
Extracorporeal membrane oxygenation (ECMO) is advanced life-support, that uses a circuit to pump blood outside of the body, oxygenate it, and remove carbon dioxide, simulating the function of the heart and lungs. Due to the need for blood thinners to prevent the clotting while on ECMO, placing a chest tube while a patient is on ECMO has risks. This study aims to determine what the different risk factors are for complications related to chest tube placement while a patient is on ECMO. We used MiChart, an Electronic Medical Record system, to collect data on ECMO patients ages 0-18 years old at C.S. Mott Children’s Hospital from 2015 to 2022. Notable data of interest included patient demographics, short-term outcomes (complications, blood transfusions, pressor requirements), and long-term outcomes (status at discharge, mortality, long term follow up). Of the 103 patients whose data was collected, 65 were male and 38 were female. 63 were White or Caucasian, and 18 were Black or African American. 55 had public insurance, 42 had private insurance, 5 had both, and 1 was self-pay. 15 of the patients had at least one complication within the first 6 hours of chest tube placement. The most common complication observed was bleeding at the site of the chest tube placement. Overall, the majority of patients were negative for chest tube placement-related complications within the first six hours of chest tube placement.
