Butt Warwick, MacLaren Graeme
Paediatric Intensive Care Unit, Royal Children's Hospital, Flemington Rd, Parkville, VIC, 3052, Australia.
Department of Paediatrics, University of Melbourne, Melbourne, Australia.
Ann Intensive Care. 2016 Dec;6(1):20. doi: 10.1186/s13613-016-0121-0. Epub 2016 Mar 3.
Over the last 5 years, there has been a dramatic increase in the use of extracorporeal membrane oxygenation (ECMO) in adult patients with severe respiratory or cardiac failure. This contrasts to the use of the technology in neonatal and paediatric intensive care units, where it has been regarded as a standard of care for a number of conditions for over 25 years. Many innovations in ECMO circuitry or clinical management evolve first in one particular discipline and it may be helpful for individual clinicians to keep abreast of developments in ECMO across the entire age range, from neonatology to older adults. This review addresses nine concepts in ECMO that are better studied or established in paediatric medicine and considers their application in adult patients.
在过去5年中，体外膜肺氧合（ECMO）在患有严重呼吸或心力衰竭的成年患者中的使用显著增加。这与该技术在新生儿和儿科重症监护病房的使用形成对比，在那里它被视为25多年来多种病症的护理标准。ECMO回路或临床管理方面的许多创新首先在一个特定学科中出现，对于个体临床医生来说，了解从新生儿科到老年人的整个年龄段ECMO的发展情况可能会有所帮助。本综述探讨了ECMO中在儿科学中得到更好研究或确立的九个概念，并考虑了它们在成年患者中的应用。
