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Istanbul Symposiums on Pediatric Extracorporeal Life Support Systems.

The most recent and rapid changes in pediatric extracorporeal life support systems (ECLS) and cardiopulmonary bypass (CPB) procedures are remarkable in terms of not only the development of significantly improved circuit components but also new techniques that reduce morbidity and mortality in pediatric cardiac patients,particularly neonates and infants (1–14). The objective of this editorial is to present the outcomes of the two most recent ECLS symposiums held at the Swiss Hotel and the Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital (IMAEH) in Istanbul, Turkey on June 26, 2011 and July 23, 2011, respectively. The main goal of these two symposiums was to share the most recent advances in a custom-made ECLS system that was developed at the Pediatric Cardiovascular Research Center at Penn State Hershey College of Medicine and Penn State Hershey Children’s Hospital, Hershey, PA, USA with invited clinicians around the Republic of Turkey. The custom ECLS system has many advantages including significantly less priming volume (<190 mL), less priming and setup time (<10 min), continuous monitoring no longer being required, and a reasonable disposal cost (<$2500) compared with conventional systems (15). Scientific committee members were composed of both local and international faculty members with multidisciplinary backgrounds and included pediatric heart surgeons, cardiologists, perfusionists, a pediatric critical care nurse educator, and a scientist. The format of both symposiums included not only invited lectures but also hands-on wet lab training sessions.