Fundamentals of weaning veno-arterial and veno-venous extracorporeal membrane oxygenation

被引：7

作者：

Tsiouris, Athanasios ^{[1
]}

Protos, Adam Nicholas ^{[1
]}

Saikus, Christina Elena ^{[2
]}

Jeyakumar, Ashok Kumar Coimbatore ^{[1
]}

机构：

[1] Univ Mississippi, Dept Surg, Div Cardiac Surg, Med Ctr, 2500 N State St, Jackson, MS 39216 USA

[2] North Shore Univ Hosp, Northwell Hlth, 300 Community Dr, Manhasset, NY 11030 USA

来源：

INDIAN JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY | 2023年 / 39卷 / SUPPL 1期

关键词：

Veno-arterial ECMO; Veno-venous ECMO; Weaning; Review; LIFE-SUPPORT; LUNG TRANSPLANTATION; BRIDGE; DECANNULATION; CLOSURE; ADULT;

D O I：

10.1007/s12055-023-01474-y

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Recent advances in veno-arterial (VA) and veno-venous (VV) extracorporeal membrane oxygenation (ECMO) technology and management have enabled us to support patients with cardiac and/or pulmonary failure, who may have previously been considered untreatable. VA ECMO and VV ECMO are by definition transient therapies and serve as a bridge to recovery, bridge to decision, bridge to transplant, or bridge to no recovery. Weaning ECMO should be considered for all patients once native cardiac and pulmonary function show signs of recovery. Currently, there are no universally accepted protocols for weaning VA and VV ECMO, and consequently, each individual center follows their own weaning protocols. The aim of this review article is to describe different approaches to safely wean from VA and VV ECMO.

引用

页码：123 / 133

页数：11

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