Division of Cardiothoracic Surgery, University of Kentucky, 740 South Limestone, Suite A301, Lexington, KY 40536, USA.
Division of Cardiovascular Medicine, University of Kentucky, Gill Heart and Vascular Institute, 800 Rose Street, First Floor, Lexington, KY 40536, USA.
Interv Cardiol Clin. 2021 Apr;10(2):195-205. doi: 10.1016/j.iccl.2020.12.006. Epub 2021 Feb 15.
The prevalence of extracorporeal cardiopulmonary resuscitation is increasing worldwide as more health care centers develop the necessary infrastructure, protocols, and technical expertise required to provide mobile extracorporeal life support with short notice. Strict adherence to patient selection guidelines in the setting of out-of-hospital cardiac arrest, as well as in-hospital cardiac arrest, allows for improved survival with neurologically favorable outcomes in a larger patient population. This review discusses the preferred approaches, cannulation techniques, and available support devices ideal for the various clinical situations encountered during the treatment of cardiac arrest and refractory cardiogenic shock.
体外心肺复苏术的普及范围正在全球范围内扩大，因为越来越多的医疗中心正在开发必要的基础设施、协议和技术专业知识，以便在短时间内提供移动体外生命支持。在院外心脏骤停和院内心脏骤停的情况下，严格遵守患者选择指南，可使更多患者的生存率提高，并获得神经功能良好的结果。本文讨论了在治疗心脏骤停和难治性心源性休克时遇到的各种临床情况下，首选的方法、插管技术和可用的支持设备。
