Pediatric anesthesia & critical care

The association between early arterial oxygen and carbon dioxide with neurologic outcomes after pediatric ECPR in children with cardiac disease

ResuscitationPublished Retrospective cohort study

An erratum to this article was published (Resuscitation, Sep 2026 ↗)

Authors' conclusion

In children with cardiac disease, early arterial oxygen changes may have a stronger association with SHD with favorable neurological outcome than carbon dioxide fluctuations.

Study context

Population
Children with cardiac disease undergoing ECPR in a single-centre pediatric cardiac ICU, 2010–2022
Participants
78 index ECPR events
Exposure
Early post-ECPR change in PaO2 and PaCO2 category during first 6 h
Outcome
Survival to hospital discharge with favorable neurological outcome (Pediatric Cerebral Performance Category 1, 2, 3 or no change from baseline)
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Median [IQR] change in PaO2

+127.5

93, 184.7

Observational data: associations, not effects.

Secondary outcomes

Overall survival to hospital discharge (SHD)

Smaller changes in PaO2 associated with higher odds of overall SHD
Hypocarbia vs normocarbia associated with higher odds of overall SHD

Neuroimaging injury

Associated with hypercarbia vs hypocarbia

Original publication

The association between early arterial oxygen and carbon dioxide with neurologic outcomes after pediatric ECPR in children with cardiac disease. Resuscitation. Published 9 February 2026. doi:10.1016/j.resuscitation.2026.111007

Composed by AI from the published abstract and checked against it. How Briefs are made →

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