Su Ying, Liu Kai, Zheng Ji-Li, Li Xin, Zhu Du-Ming, Zhang Ying, Zhang Yi-Jie, Wang Chun-Sheng, Shi Tian-Tian, Luo Zhe, Tu Guo-Wei
Department of Critical Care Medicine, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
Department of Nursing, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
Ann Transl Med. 2020 Jun;8(12):792. doi: 10.21037/atm.2020.03.186.
Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) is an effective mechanical circulatory support modality that rapidly restores systemic perfusion for circulatory failure in patients. Given the huge increase in VA-ECMO use, its optimal management depends on continuous and discrete hemodynamic monitoring. This article provides an overview of VA-ECMO pathophysiology, and the current state of the art in hemodynamic monitoring in patients with VA-ECMO.
静脉-动脉体外膜肺氧合（VA-ECMO）是一种有效的机械循环支持方式，可迅速恢复循环衰竭患者的全身灌注。鉴于VA-ECMO使用量的大幅增加，其最佳管理依赖于持续且离散的血流动力学监测。本文概述了VA-ECMO的病理生理学以及VA-ECMO患者血流动力学监测的当前技术水平。
