Clinical decision support for ExtraCorporeal Membrane Oxygenation: Will we fly by wire?

被引：5
作者：
Pladet, Lara [1 ]
Luijken, Kim [2 ]
Fresiello, Libera [3 ]
Miranda, Dinis Dos Reis [4 ]
Hermens, Jeannine A. [1 ]
Smeden, Maarten van [2 ]
Cremer, Olaf [1 ]
Donker, Dirk W. [1 ,3 ]
Meuwese, Christiaan L. [4 ,5 ,6 ,7 ]
机构：
[1] Univ Med Ctr Utrecht, Dept Intens Care Med, Utrecht, Netherlands
[2] Univ Med Ctr Utrecht, Julius Ctr Hlth Sci & Primary Care, Dept Epidemiol, Utrecht, Netherlands
[3] Univ Twente, TechMed Ctr, Cardiovasc & Resp Physiol, Enschede, Netherlands
[4] Erasmus MC, Dept Intens Care Med, Rotterdam, Netherlands
[5] Erasmus, Thorax Ctr, Dept Cardiol, Rotterdam, Netherlands
[6] Erasmus MC, Dept Intens Care, Doctor Molewaterpl 40, NL-3015 GD Rotterdam, Netherlands
[7] Erasmus MC, Dept Cardiol, Doctor Molewaterpl 40, NL-3015 GD Rotterdam, Netherlands
来源：
PERFUSION-UK | 2023年 / 38卷 / 1_SUPPL期
关键词：
Extracorporeal membrane oxygenation; extracorporeal life support; ECLS; digital twin; epidemiological- and computational modeling; prognostic models; fly by wire systems; CARDIAC-ARREST PATIENTS; PREDICTION MODELS; LIFE-SUPPORT; SURVIVAL; ECMO; PERFORMANCE; MORTALITY; MEDICINE; FAILURE;
D O I：
10.1177/02676591231163688
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Prognostic modelling techniques have rapidly evolved over the past decade and may greatly benefit patients supported with ExtraCorporeal Membrane Oxygenation (ECMO). Epidemiological and computational physiological approaches aim to provide more accurate predictive assessments of ECMO-related risks and benefits. Implementation of these approaches may produce predictive tools that can improve complex clinical decisions surrounding ECMO allocation and management. This Review describes current applications of prognostic models and elaborates on upcoming directions for their clinical applicability in decision support tools directed at improved allocation and management of ECMO patients. The discussion of these new developments in the field will culminate in a futuristic perspective leaving ourselves and the readers wondering whether we may "fly ECMO by wire" someday.
引用
收藏
页码：68 / 81
页数：14
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