Caron E A, Hamblet Berlandi J L
Multidisciplinary Intensive Care Unit, Children's Hospital, Boston, Massachusetts 02115, USA.
Nurs Clin North Am. 1997 Mar;32(1):125-40.
Extracorporeal membrane oxygenation (ECMO) is prolonged cardiopulmonary bypass used to treat critically ill patients with severe but reversible cardiac and/or respiratory failure. The severity of their symptoms, the rapid deterioration in their conditions, the difficulty in mechanical transportation, and the risks of traveling with an ECMO circuit often prohibit cannulation in an operating room. Cannulation for and decannulation after ECMO therapy can be safely accomplished in the intensive care unit by utilizing experienced perioperative nurses.
体外膜肺氧合(ECMO)是一种延长的心肺转流技术,用于治疗患有严重但可逆的心脏和/或呼吸衰竭的危重症患者。其症状的严重性、病情的迅速恶化、机械转运的困难以及携带ECMO回路出行的风险,常常使得在手术室进行插管操作变得不可行。通过经验丰富的围手术期护士,在重症监护病房可以安全地完成ECMO治疗的插管和拔管操作。