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Patients receiving ECMO are special, but still only need a haemoglobin concentration of 7g/dL.

作者信息

Tonna Joseph E

机构信息

Division of Cardiothoracic Surgery, Department of Surgery and Department of Emergency Medicine, University of Utah Health, Salt Lake City, UT 84132, USA.

出版信息

Lancet Respir Med. 2023 Mar;11(3):215-217. doi: 10.1016/S2213-2600(22)00367-8. Epub 2022 Oct 11.

DOI:10.1016/S2213-2600(22)00367-8
PMID:36240835
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9991993/
Abstract
摘要

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Patients receiving ECMO are special, but still only need a haemoglobin concentration of 7g/dL.接受体外膜肺氧合治疗的患者情况特殊，但血红蛋白浓度仍只需达到7克/分升。
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2
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Lancet Respir Med. 2023 Mar;11(3):245-255. doi: 10.1016/S2213-2600(22)00353-8. Epub 2022 Oct 11.
3
Hemoglobin trigger and approach to red blood cell transfusions during veno-venous extracorporeal membrane oxygenation: the international TRAIN-ECMO survey.静脉-静脉体外膜肺氧合期间血红蛋白触发因素及红细胞输注策略：国际TRAIN-ECMO调查
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Plasma Free Hemoglobin Is an Independent Predictor of Mortality among Patients on Extracorporeal Membrane Oxygenation Support.血浆游离血红蛋白是接受体外膜肺氧合支持患者死亡率的独立预测指标。
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Blood conservation in extracorporeal membrane oxygenation for acute respiratory distress syndrome.急性呼吸窘迫综合征体外膜肺氧合中的血液保护
Ann Thorac Surg. 2015 Feb;99(2):590-5. doi: 10.1016/j.athoracsur.2014.08.039. Epub 2014 Dec 10.
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Hemolysis and Plasma Free Hemoglobin During Extracorporeal Membrane Oxygenation Support: From Clinical Implications to Laboratory Details.体外膜肺氧合支持期间的溶血和血浆游离血红蛋白：从临床意义到实验室细节。
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Blood oxygenation and decarboxylation determinants during venovenous ECMO for respiratory failure in adults.成人呼吸衰竭行静脉-静脉体外膜肺氧合时的血氧合和脱羧作用决定因素。
Intensive Care Med. 2013 May;39(5):838-46. doi: 10.1007/s00134-012-2785-8. Epub 2013 Jan 5.

本文引用的文献

1
Management of Adult Patients Supported with Venovenous Extracorporeal Membrane Oxygenation (VV ECMO): Guideline from the Extracorporeal Life Support Organization (ELSO).成人患者静脉-静脉体外膜肺氧合（VV ECMO）支持管理：体外生命支持组织（ELSO）指南。
ASAIO J. 2021 Jun 1;67(6):601-610. doi: 10.1097/MAT.0000000000001432.
2
Effect of a Restrictive vs Liberal Blood Transfusion Strategy on Major Cardiovascular Events Among Patients With Acute Myocardial Infarction and Anemia: The REALITY Randomized Clinical Trial.限制与宽松输血策略对贫血急性心肌梗死患者主要心血管事件的影响：REALITY 随机临床试验。
JAMA. 2021 Feb 9;325(6):552-560. doi: 10.1001/jama.2021.0135.
3
Hemoglobin trigger and approach to red blood cell transfusions during veno-venous extracorporeal membrane oxygenation: the international TRAIN-ECMO survey.静脉-静脉体外膜肺氧合期间血红蛋白触发因素及红细胞输注策略：国际TRAIN-ECMO调查
Perfusion. 2019 Apr;34(1_suppl):39-48. doi: 10.1177/0267659119830526.
4
Restrictive or Liberal Red-Cell Transfusion for Cardiac Surgery.心脏手术中红细胞的限制输血或自由输血。
N Engl J Med. 2017 Nov 30;377(22):2133-2144. doi: 10.1056/NEJMoa1711818. Epub 2017 Nov 12.
5
Liberal or restrictive transfusion after cardiac surgery.心脏手术后的自由输血或限制输血。
N Engl J Med. 2015 Mar 12;372(11):997-1008. doi: 10.1056/NEJMoa1403612.
6
Anemia and Transfusion in Critical Care: Physiology and Management.危重症中的贫血与输血：生理学与管理
J Intensive Care Med. 2016 Jun;31(5):295-306. doi: 10.1177/0885066615571901. Epub 2015 Feb 18.
7
Lower versus higher hemoglobin threshold for transfusion in septic shock.较低与较高血红蛋白阈值用于感染性休克患者输血。
N Engl J Med. 2014 Oct 9;371(15):1381-91. doi: 10.1056/NEJMoa1406617. Epub 2014 Oct 1.
8
Relationship between hemoglobin concentration and extracorporeal blood flow as determinants of oxygen delivery during venovenous extracorporeal membrane oxygenation: a mathematical model.血红蛋白浓度与体外血流量之间的关系作为静脉-静脉体外膜肺氧合期间氧输送的决定因素：一个数学模型
ASAIO J. 2014 Nov-Dec;60(6):688-93. doi: 10.1097/MAT.0000000000000125.
9
A multicenter, randomized, controlled clinical trial of transfusion requirements in critical care. Transfusion Requirements in Critical Care Investigators, Canadian Critical Care Trials Group.一项关于重症监护中输血需求的多中心、随机、对照临床试验。重症监护输血需求研究人员，加拿大重症监护试验组。
N Engl J Med. 1999 Feb 11;340(6):409-17. doi: 10.1056/NEJM199902113400601.