Giraud R, Siegenthaler N, Tassaux D, Richard J C M, Reverdin S, Cikirikcioglu M, Licker M J, Bendjelid K, Brochard L
Service des soins intensifs, HUG, Genève.
Rev Med Suisse. 2011 Dec 14;7(321):2444-51.
The Extra corporeal membrane oxygenation (ECMO) was initially proposed as a technique of respiratory support using an external membrane oxygenator. With time, it has also become a technique of cardiorespiratory support to ensure both gas exchange and organ perfusion until the restoration of organs function. This technical assistance can be central or peripheral and provides a partial or total circulatory support. The circuit includes a non occlusive centrifugal pump, an oxygenator for an enrichment of O2 and elimination of CO2 and cannulas for drainage and re-injection. Recently, the establishment of such assistance became possible percutaneously, allowing it to be initiated at the intensive care bedside or even before in-hospital admission.
体外膜肺氧合（ECMO）最初被提出作为一种使用外部膜式氧合器的呼吸支持技术。随着时间的推移，它也成为一种心肺支持技术，以确保气体交换和器官灌注，直至器官功能恢复。这种技术辅助可以是中心性的或外周性的，并提供部分或全部循环支持。该回路包括一个非阻塞性离心泵、一个用于富集氧气和排出二氧化碳的氧合器以及用于引流和再注入的插管。最近，经皮建立这种辅助成为可能，使得可以在重症监护床边甚至在入院前就启动该技术。
