体外膜肺氧合的人员配备、设备及监测注意事项

Staffing, Equipment, Monitoring Considerations for Extracorporeal Membrane Oxygenation.

作者信息

Fitzgerald David C, Darling Edward M, Cardona Monika F

机构信息

Division of Cardiovascular Perfusion, MUSC College of Health Professions, Medical University of South Carolina, 151B Rutledge Avenue MSC962, Charleston, SC 29425, USA.

Department of Cardiovascular Perfusion, SUNY Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USA.

出版信息

Crit Care Clin. 2017 Oct;33(4):863-881. doi: 10.1016/j.ccc.2017.06.008.

DOI:10.1016/j.ccc.2017.06.008

PMID:28887933

Abstract

Although the reasons for the recent growth in adult extracorporeal membrane oxygenation (ECMO) are multifactorial, much of the success may be attributed to the development of well-trained staff and the technological innovations in equipment and monitoring devices used during extracorporeal support. In this article, the authors discuss general educational formats for the ECMO bedside provider, staffing support models, and devices designed to best meet the needs of the patient while simultaneously ensuring the proper delivery of ECMO-related care.

摘要

尽管近期成人体外膜肺氧合（ECMO）使用量增长的原因是多方面的，但很大程度上的成功或许归功于训练有素的工作人员的培养以及体外支持期间所使用设备和监测装置的技术创新。在本文中，作者探讨了ECMO床边医护人员的一般教育形式、人员配备支持模式以及旨在最好地满足患者需求同时确保正确提供ECMO相关护理的设备。