Division of Cardiac Surgery, University Department of Surgery, Vienna General Hospital, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.
Division of Cardiac Thoracic Vascular Anesthesia and Intensive Care Medicine, University Department of Anaesthesia, Intensive Care Medicine and Pain Medicine, Medical University of Vienna, Vienna, Austria.
Wien Klin Wochenschr. 2020 Nov;132(21-22):671-676. doi: 10.1007/s00508-020-01708-8. Epub 2020 Jul 3.
The pandemic from the SARS-CoV‑2 virus is currently challenging healthcare systems all over the world. Maintaining appropriate staffing and resources in healthcare facilities is essential to guarantee a safe working environment for healthcare personnel and safe patient care. Extracorporeal membrane oxygenation (ECMO) represents a valuable therapeutic option in patients with severe heart or lung failure. Although only a limited proportion of COVID-19 patients develop respiratory or circulatory failure that is refractory to conventional treatment, it is of utmost importance to clearly define criteria for the use of ECMO in this steadily growing patient population. The ECMO working group of the Medical University of Vienna has established the following recommendations for ECMO support in COVID-19 patients.
目前,由 SARS-CoV-2 病毒引起的大流行正给全世界的医疗系统带来挑战。在医疗机构中维持适当的人员配备和资源对于保障医护人员的安全工作环境和患者的安全护理至关重要。体外膜肺氧合(ECMO)是严重心肺衰竭患者极具价值的治疗选择。尽管只有有限比例的 COVID-19 患者会出现对常规治疗无反应的呼吸或循环衰竭,但对于不断增长的这部分患者人群,明确 ECMO 使用的标准至关重要。维也纳医科大学的 ECMO 工作组针对 COVID-19 患者的 ECMO 支持制定了以下建议。