Columbia University Medical Center, 622 W 168th Street, PH5, New York, NY 10032, USA.
Columbia University Medical Center, 161 Fort Washington Avenue Floor 3rd, New York, NY 10032, USA.
Best Pract Res Clin Anaesthesiol. 2017 Jun;31(2):227-236. doi: 10.1016/j.bpa.2017.07.005. Epub 2017 Jul 18.
The use of short-term mechanical circulatory support in the form of extracorporeal membrane oxygenation (ECMO) in adult patients has increased over the last decade. Cardiothoracic anesthesiologists may care for these patients during ECMO placement and for procedures while ECMO support is in place. An understanding of ECMO capabilities, indications, and complications is essential to the anesthesiologist caring for these patients. Below we review the anesthetic considerations for the implantation of ECMO and concerns when caring for patients on ECMO.
在过去的十年中，体外膜肺氧合（ECMO）形式的短期机械循环支持在成年患者中的应用有所增加。体外循环心肺麻醉师可能会在 ECMO 放置期间以及 ECMO 支持期间进行的程序中照顾这些患者。了解 ECMO 的功能、适应证和并发症对于照顾这些患者的麻醉师至关重要。下面我们将回顾 ECMO 植入的麻醉考虑因素以及 ECMO 患者护理时的注意事项。
