Sandrio Stany, Beck Grietje, Krebs Joerg, Otto Matthias
Klinik für Anästhesiologie, Operative Intensiv- und Schmerzmedizin, Universitätsmedizin Mannheim, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland.
Chirurgie (Heidelb). 2024 Oct;95(10):859-868. doi: 10.1007/s00104-024-02135-5. Epub 2024 Aug 15.
In recent years the number of patients treated in intensive care units by extracorporeal membrane oxygenation (ECMO) due to severe respiratory failure or cardiogenic shock has steadily increased [1]. Consequently, the number of invasive procedures and operations in these patients has also increased. A fundamental understanding of these systems and the clinical indications is therefore helpful for the practicing (non-cardiac) surgeon. This review article focuses on peripheral ECMO procedures: venovenous (V-V) ECMO for patients with respiratory failure and venoarterial (V-A) ECMO for circulatory support in cardiogenic shock.
近年来,因严重呼吸衰竭或心源性休克而在重症监护病房接受体外膜肺氧合(ECMO)治疗的患者数量稳步增加[1]。因此,这些患者的侵入性操作和手术数量也有所增加。因此,对这些系统和临床适应症有基本的了解对外科医生(非心脏外科)的临床实践很有帮助。这篇综述文章重点关注外周ECMO程序:用于呼吸衰竭患者的静脉-静脉(V-V)ECMO和用于心源性休克循环支持的静脉-动脉(V-A)ECMO。