Ambinder Daniel I, Oberdier Matt T, Miklin Daniel J, Halperin Henry R
Department of Medicine, Johns Hopkins University School of Medicine; Baltimore, MD, USA.
Department of Medicine, University of Southern California, Los Angeles, CA, USA.
Rambam Maimonides Med J. 2020 Apr 29;11(2):e0013. doi: 10.5041/RMMJ.10399.
Cardiopulmonary resuscitation (CPR) is a first-line therapy for sudden cardiac arrest, while extracorporeal membrane oxygenation (ECMO) has traditionally been used as a means of countering circulatory failure. However, new advances dictate that CPR and ECMO could be complementary for support after cardiac arrest. This review details the emerging science, technology, and clinical application that are enabling the new paradigm of these iconic circulatory support modalities in the setting of cardiac arrest.
心肺复苏术(CPR)是心脏骤停的一线治疗方法,而体外膜肺氧合(ECMO)传统上一直被用作对抗循环衰竭的手段。然而,新的进展表明,心肺复苏术和体外膜肺氧合在心脏骤停后的支持方面可能具有互补性。本综述详细介绍了正在促成这些标志性循环支持模式在心脏骤停情况下形成新范式的新兴科学、技术和临床应用。