Pichler Philipp, Antretter Herwig, Dünser Martin, Eschertzhuber Stephan, Gottardi Roman, Heinz Gottfried, Pölzl Gerhard, Pretsch Ingrid, Rajek Angelika, Wasler Andrä, Zimpfer Daniel, Geppert Alexander
Universitätsklinik für Innere Medizin II, Abteilung für Kardiologie, Medizinische Universität Wien, Wien, Österreich.
Wien Klin Wochenschr. 2015 Mar;127(5-6):169-84. doi: 10.1007/s00508-015-0743-5. Epub 2015 Mar 28.
The use of ECMO to stabilize critically ill patients with severely depressed cardiac function and hemodynamics increased in the last years due to broader availability, better performance and easier implantation of the devices. The present guidelines of the Austrian Society of Cardiology focus on the use of ECMO in adult non-operated patients with cardiac diseases. Not only indications and contraindications are highlighted, but also the equally important issues of monitoring, complication management, measures during implantation and operation, and weaning of the devices are treated in detail. Thereby the present guidelines aim to optimize the use of ECMO in the individual centers, and aim to help current non-ECMO centers in developing a local ECMO-program or to contact ECMO-centers for discussion of individual patients.
近年来,由于设备的更广泛可用性、更好的性能和更简便的植入方式,使用体外膜肺氧合(ECMO)来稳定心功能严重受损和血流动力学不稳定的重症患者的情况有所增加。奥地利心脏病学会目前的指南侧重于ECMO在患有心脏病的成年非手术患者中的应用。不仅突出了适应证和禁忌证,还详细论述了监测、并发症管理、植入和操作过程中的措施以及设备撤机等同样重要的问题。因此,本指南旨在优化各中心ECMO的使用,并帮助目前没有ECMO的中心制定当地的ECMO项目,或与ECMO中心联系以讨论个别患者的情况。