Chen Yuansen, Li Duo, Liu Ziquan, Liu Yanqing, Fan Haojun, Hou Shike
Institute of Disaster and Emergency Medicine, Tianjin University, Tianjin, China.
Wenzhou Safety (Emergency) Institute, Tianjin University, Wenzhou, China.
Expert Rev Med Devices. 2023 Mar;20(3):221-232. doi: 10.1080/17434440.2023.2185136. Epub 2023 Mar 3.
Extracorporeal membrane oxygenation (ECMO) is primarily used for the supportive treatment of patients suffering from severe cardiopulmonary failure. With the continued development of ECMO technology, the relevant scenarios also extend pre-hospital and inter-hospital. In order to meet the needs of emergency treatment in communities, disaster sites and battlefields, inter-hospital transfer and evacuation; miniaturized and portable ECMO has become a current research hotspot.
The paper first introduces the principle, composition and common modes of ECMO and summarizes the research status of portable ECMO, Novalung and wearable ECMO, analyzes the characteristics and shortcomings of existing equipment. finally, we discussed the focus and development trend of portable ECMO technology.
Currently, portable ECMO has many applications in interhospital transport and there are various studies on portable and wearable ECMO devices, but the development of portable ECMO still faces many challenges. In the future, research related to integrated components, rich sensor arrays, Intelligent ECMO system and lightweight technology can make future portable ECMO more suitable for pre-hospital emergency and interhospital transport.
体外膜肺氧合（ECMO）主要用于严重心肺功能衰竭患者的支持治疗。随着ECMO技术的不断发展，其应用场景也延伸至院前和院际。为满足社区、灾区和战场的急救需求、院际转运和疏散需求，小型化和便携式ECMO已成为当前的研究热点。
本文首先介绍了ECMO的原理、组成和常见模式，总结了便携式ECMO、诺瓦朗（Novalung）和可穿戴ECMO的研究现状，分析了现有设备的特点和不足。最后，我们讨论了便携式ECMO技术的重点和发展趋势。
目前，便携式ECMO在院际转运中有诸多应用，并且针对便携式和可穿戴ECMO设备有各种研究，但便携式ECMO的发展仍面临诸多挑战。未来，与集成组件（、丰富的传感器阵列、智能ECMO系统和轻量化技术相关的研究可使未来的便携式ECMO更适合院前急救和院际转运。
