Department of Intensive Care Medicine, Erasmus Medical Center, PO Box 2040, 3000 CA, Rotterdam, The Netherlands.
Department of Cardiology, Erasmus Medical Center, PO Box 2040, 3000 CA, Rotterdam, The Netherlands.
Crit Care. 2022 Jul 15;26(1):216. doi: 10.1186/s13054-022-04089-8.
Venoarterial extracorporeal membrane oxygenation (VA ECMO) has been increasingly applied in patients with cardiogenic shock in recent years. Nevertheless, many patients cannot be successfully weaned from VA ECMO support and 1-year mortality remains high. A systematic approach could help to optimize clinical management in favor of weaning by identifying important factors in individual patients. Here, we provide an overview of pivotal factors that potentially prevent successful weaning of VA ECMO. We present this through a rigorous approach following the relatable acronym ABCDE, in order to facilitate widespread use in daily practice.
近年来，静脉-动脉体外膜肺氧合（VA ECMO）已越来越多地应用于心源性休克患者。然而，许多患者无法成功地从 VA ECMO 支持中撤离，并且 1 年死亡率仍然很高。系统的方法可以通过识别个体患者中的重要因素来帮助优化临床管理，有利于撤离。在这里，我们提供了一个潜在因素的概述，这些因素可能会阻止 VA ECMO 的成功撤离。我们通过一个相关的首字母缩写词 ABCDE 来呈现这个问题，以便于在日常实践中广泛使用。
