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体外膜肺氧合:重症监护患者的人为因素考量

Extracorporeal Membrane Oxygenation: Consideration of Human Factors in Intensive Care Patients.

作者信息

Eyler Donna, Danley Shiloh, Blakeman Stephanie

机构信息

Department of Anesthesia, Mayo Clinic, 5777 East Mayo Boulevard, Phoenix, AZ 85054, USA.

Department of Critical Care Medicine, Mayo Clinic, 5777 East Mayo Boulevard, Phoenix, AZ 85054, USA.

出版信息

Crit Care Nurs Clin North Am. 2025 Jun;37(2):245-254. doi: 10.1016/j.cnc.2025.02.006. Epub 2025 Apr 3.

DOI:10.1016/j.cnc.2025.02.006
PMID:40382089
Abstract

Approximately 6000 intensive care units in the United States have Extracorporeal Membrane Oxygenation (ECMO) programs that are crucial for supporting critically ill patients with cardiogenic shock or respiratory failure. ECMO is a lifesaving technique that oxygenates blood outside the body, providing critical time for other treatments to take effect. There are two main types of ECMO: veno-venous ECMO, which supports lung function, and veno-arterial ECMO, which supports both lung function and cardiac output. Despite advancements in technology, the success of ECMO relies heavily on skilled specialists who require extensive training and effective teamwork.

摘要

美国约有6000个重症监护病房设有体外膜肺氧合(ECMO)项目,这些项目对于支持患有心源性休克或呼吸衰竭的重症患者至关重要。ECMO是一种挽救生命的技术,可在体外为血液供氧,为其他治疗生效提供关键时间。ECMO主要有两种类型:支持肺功能的静脉-静脉ECMO和支持肺功能及心输出量的静脉-动脉ECMO。尽管技术有所进步,但ECMO的成功在很大程度上依赖于需要接受广泛培训的熟练专家以及有效的团队协作。

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