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胸外科中的体外膜肺氧合:一个改变游戏规则的技术!

Extracorporeal membrane oxygenation in thoracic surgery: A game changer!

作者信息

Glowka Lena, Popescu Wanda M, Patel Bhoumesh

机构信息

From the Department of Anesthesiology, Yale School of Medicine, 333 Cedar Street, P.O. Box 208051, New Haven, CT, 06520-8051, USA.

出版信息

Best Pract Res Clin Anaesthesiol. 2024 Mar;38(1):47-57. doi: 10.1016/j.bpa.2024.01.003. Epub 2024 Jan 30.

Abstract

The utilization of extracorporeal membrane oxygenation (ECMO) in complex thoracic surgery has become more frequent in recent years due to advances in technology, increased availability, and improved outcomes. ECMO has emerged as a vital tool to facilitate thoracic surgery for patients who would have otherwise been deemed unsuitable candidates. It has redefined the boundaries of surgical possibility where conventional methods fall short. ECMO is typically employed in specific thoracic surgery where conventional ventilation is either inadequate or it interferes with the surgical field, and in procedures demanding both ventilatory and hemodynamic support.

摘要

近年来,由于技术进步、可用性提高以及治疗效果改善,体外膜肺氧合(ECMO)在复杂胸外科手术中的应用越来越频繁。对于那些原本被认为不适合手术的患者,ECMO已成为促进胸外科手术的重要工具。它重新定义了传统方法无法企及的手术可能性边界。ECMO通常用于传统通气不足或干扰手术视野的特定胸外科手术,以及需要通气和血流动力学支持的手术。

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