Rabah Hussein, Rabah Ali
Internal Medicine, Northwell Health, New Hyde Park, USA.
Division of Electrophysiology, Beirut Cardiac Institute, Beirut, LBN.
Cureus. 2022 Jul 11;14(7):e26735. doi: 10.7759/cureus.26735. eCollection 2022 Jul.
Extracorporeal membrane oxygenation (ECMO) is a form of circulatory support used in patients with refractory cardiac and/or respiratory failure. The main role of such support is to allow the lungs and heart to rest and heal while providing adequate oxygenation to vital organs. During extracorporeal support, the venous blood removed is decarboxylated, oxygenated, warmed, and infused back into the circulation. Physicians and nursing staff should be familiar with ECMO in order to provide the best care for critically ill patients. The aim of this paper is to review the technical aspects, indications, contraindications, complications, and management of both veno-venous (VV) and veno-arterial (VA) ECMO.
体外膜肺氧合（ECMO）是一种用于治疗难治性心脏和/或呼吸衰竭患者的循环支持方式。这种支持的主要作用是在为重要器官提供充足氧合的同时，让肺和心脏得以休息和恢复。在体外支持过程中，引出的静脉血会进行脱碳、氧合、加温，然后再回输到循环中。医生和护理人员应该熟悉ECMO，以便为重症患者提供最佳护理。本文旨在综述静脉 - 静脉（VV）和静脉 - 动脉（VA）ECMO的技术要点、适应证、禁忌证、并发症及管理。
