Factors Influencing Successful Weaning From Venoarterial Extracorporeal Membrane Oxygenation: A Systematic Review

被引:1
作者
Zhao, Yanlong [1 ]
Wang, Heru [1 ]
Cheng, Yihao [2 ]
Zhang, Jifeng [3 ]
Zhao, Lei [1 ]
机构
[1] Second Hosp Jilin Univ, Dept Cardiol, 4026 Yatai St, Changchun, Jilin, Peoples R China
[2] First Hosp Jilin Univ, Dept Cardiol, Changchun, Jilin, Peoples R China
[3] Jilin Univ, Sch Pharmaceut Sci, Changchun, Jilin, Peoples R China
关键词
VA-ECMO; weaning parameters; cardiogenic shock; extracorporeal resuscitation; ECPR training; CARDIOGENIC-SHOCK; VASCULAR COMPLICATIONS; BRAIN-INJURY; SUPPORT; ADULT; ECMO; MORTALITY; INFECTION; SURVIVAL; PROCALCITONIN;
D O I
10.1053/j.jvca.2024.05.018
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
With advancements in extracorporeal life support (ECLS) technologies, venoarterial extracorporeal membrane oxygenation (VA-ECMO) has emerged as a crucial cardiopulmonary support mechanism. This review explores the significance of VA-ECMO system configuration, cannulation strategies, and timing of initiation. Through an analysis of medication management strategies, complication management, and comprehensive preweaning assessments, it aims to establish a multidimensional evaluation framework to assist clinicians in making informed decisions regarding weaning from VA-ECMO, thereby ensuring the safe and effective transition of patients.
引用
收藏
页码:2446 / 2458
页数:13
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