From the Division of Traumatology, Surgical Critical Care & Emergency Surgery (J.W.C.), Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania; Uniformed Services University of the Health Sciences (J.W.C.), Bethesda, Maryland; Department of Surgery (P.E.M.), San Antonio Military Medical Center; US Army Institute of Surgical Research (A.I.B.), Joint Base San Antonio-Fort Sam Houston, Texas; and the Geneva Foundation, Tacoma, Washington (A.I.B.).
J Trauma Acute Care Surg. 2018 Jun;84(6S Suppl 1):S63-S68. doi: 10.1097/TA.0000000000001846.
Advanced extracorporeal therapies have been successfully applied in the austere environment of combat casualty care over the previous decade. In this review, we describe the historic underpinnings of extracorporeal membrane oxygenation, review the recent experience with both partial and full lung support during combat operations, and critically assess both the current status of the Department of Defense extracorporeal membrane oxygenation program and the way forward to establish long-range lung rescue therapy as a routine capability for combat casualty care.
在过去十年中，先进的体外治疗技术已成功应用于战场伤员救治的恶劣环境中。在这篇综述中，我们描述了体外膜肺氧合的历史背景，回顾了在作战行动中进行部分和全肺支持的近期经验，并批判性地评估了国防部体外膜肺氧合计划的现状和前进方向，以便将远程肺抢救治疗作为战场伤员救治的常规能力建立起来。
