体外膜肺氧合：过去与现在；适应证拓宽和可及性提高。
Extracorporeal Membrane Oxygenation Then and Now; Broadening Indications and Availability.
机构信息
Division of Pediatric Critical Care, University of Michigan Medical School, 1500 E. Medical Center Drive, Ann Arbor, MI 48109, USA.
Division Cardiac Critical Care, Department Critical Care Medicine, 555 Univeristy Avenue, Toronto, ON, Canada M5G 1X8; Department of Bioethics, The Hospital for Sick Children, 555 University Avenue, Toronto, ON, Canada M5G 1XB.
出版信息
Crit Care Clin. 2023 Apr;39(2):255-275. doi: 10.1016/j.ccc.2022.09.003. Epub 2022 Dec 22.
Extracorporeal membrane oxygenation (ECMO) is a life support technology provided to children to support respiratory failure, cardiac failure, or cardiopulmonary resuscitation after failure of conventional management. Over the decades, ECMO has expanded in use, advanced in technology, shifted from experimental to a standard of care, and evidence supporting its use has increased. The expanded ECMO indications and medical complexity of children have also necessitated focused studies in the ethical domain such as decisional authority, resource allocation, and equitable access.
体外膜肺氧合（ECMO）是一种生命支持技术，用于为儿童提供支持，以治疗常规治疗失败后的呼吸衰竭、心力衰竭或心肺复苏后衰竭。几十年来，ECMO 的使用范围不断扩大，技术不断进步，从实验性治疗转变为常规治疗标准，支持其使用的证据也不断增加。ECMO 适应证的扩大和儿童医疗的复杂性也使得在决策权威、资源分配和公平获取等伦理领域进行了专门研究。
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