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体外膜肺氧合。

Extracorporeal Membrane Oxygenation.

机构信息

Department of Respiratory Care and Department of Extracorporeal Membrane Oxygenation, Boston Children's Hospital, Boston, Massachusetts.

出版信息

Respir Care. 2023 Aug;68(8):1158-1170. doi: 10.4187/respcare.10929. Epub 2023 Jul 4.

Abstract

The utilization of extracorporeal membrane oxygenation (ECMO) for cardiopulmonary support continues to increase globally, with > 190,000 ECMO cases reported to the international Extracorporeal Life Support Organization Registry. The present review aims to synthesize important contributions to the literature surrounding the management of mechanical ventilation, prone positioning, anticoagulation, bleeding complications, and neurologic outcomes for infants, children, and adults undergoing ECMO in 2022. Additionally, issues related to cardiac ECMO, Harlequin syndrome, and anticoagulation during ECMO will be discussed.

摘要

体外膜肺氧合(ECMO)在全球范围内用于心肺支持的应用不断增加,国际体外生命支持组织登记处报告了超过 190000 例 ECMO 病例。本综述旨在综合 2022 年关于接受 ECMO 的婴儿、儿童和成人的机械通气、俯卧位、抗凝、出血并发症和神经结局管理的文献中的重要贡献。此外,还将讨论与心脏 ECMO、Harlequin 综合征和 ECMO 期间抗凝相关的问题。

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本文引用的文献

3
Early Extracorporeal CPR for Refractory Out-of-Hospital Cardiac Arrest.
N Engl J Med. 2023 Jan 26;388(4):299-309. doi: 10.1056/NEJMoa2204511.
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Pediatr Crit Care Med. 2023 Feb 1;24(2):143-168. doi: 10.1097/PCC.0000000000003147. Epub 2023 Jan 20.
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Impact of Prone Position in COVID-19 Patients on Extracorporeal Membrane Oxygenation.
Crit Care Med. 2023 Jan 1;51(1):36-46. doi: 10.1097/CCM.0000000000005714. Epub 2022 Nov 11.
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Timing of Prone Positioning During Venovenous Extracorporeal Membrane Oxygenation for Acute Respiratory Distress Syndrome.
Crit Care Med. 2023 Jan 1;51(1):25-35. doi: 10.1097/CCM.0000000000005705. Epub 2022 Nov 9.

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