Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany.
ECMO Centre, University Hospital Cologne, Cologne, Germany.
J Card Surg. 2021 Aug;36(8):2751-2753. doi: 10.1111/jocs.15615. Epub 2021 May 16.
Extracorporeal cardiopulmonary resuscitation (ECPR) is shown to be associated with favorable outcomes. Next to the relevance of accurate patient selection, hemodynamic management and focused therapy after initiation of extracorporeal membrane oxygenation (ECMO) in cardiopulmonary resuscitation patients are gaining importance. Therapeutic options in patients with loss of pulse pressure during ECMO circulation should be established as early as possible to avoid additional adverse outcomes of ECPR patients.
体外心肺复苏（ECPR）已被证明与良好的结果相关。除了准确选择患者的重要性外，心肺复苏患者开始体外膜肺氧合（ECMO）后，血流动力学管理和针对性治疗也变得越来越重要。在 ECMO 循环期间出现脉压损失的患者，应尽早确定治疗选择，以避免 ECPR 患者出现更多不良后果。
