Hemodynamic monitoring in patients with venoarterial extracorporeal membrane oxygenation

被引:43
作者
Su, Ying [1 ]
Liu, Kai [1 ]
Zheng, Ji-Li [2 ]
Li, Xin [3 ]
Zhu, Du-Ming [1 ]
Zhang, Ying [1 ]
Zhang, Yi-Jie [1 ]
Wang, Chun-Sheng [3 ]
Shi, Tian-Tian [4 ]
Luo, Zhe [1 ,5 ]
Tu, Guo-Wei [1 ]
机构
[1] Fudan Univ, Zhongshan Hosp, Dept Crit Care Med, Shanghai 200032, Peoples R China
[2] Fudan Univ, Zhongshan Hosp, Dept Nursing, Shanghai 200032, Peoples R China
[3] Fudan Univ, Zhongshan Hosp, Dept Cardiac Surg, Shanghai 200032, Peoples R China
[4] Bridgeport Hosp, Yale New Haven Hlth, Dept Med, Bridgeport, CT USA
[5] Fudan Univ, Zhongshan Hosp, Xiamen Branch, Dept Crit Care Med, Xiamen 361015, Peoples R China
关键词
Perfusion; echocardiography; microcirculation; shock; cardiac output (CO); veno-arterial extracorporeal membrane oxygenation (VA-ECMO); PREDICTING FLUID RESPONSIVENESS; PULSE PRESSURE VARIATION; REFRACTORY CARDIOGENIC-SHOCK; NEAR-INFRARED SPECTROSCOPY; CARDIAC-OUTPUT; LIMB ISCHEMIA; LIFE-SUPPORT; RESPIRATORY CHANGES; ADULT PATIENTS; HEART-FAILURE;
D O I
10.21037/atm.2020.03.186
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) is an effective mechanical circulatory support modality that rapidly restores systemic perfusion for circulatory failure in patients. Given the huge increase in VA-ECMO use, its optimal management depends on continuous and discrete hemodynamic monitoring. This article provides an overview of VA-ECMO pathophysiology, and the current state of the art in hemodynamic monitoring in patients with VA-ECMO.
引用
收藏
页数:15
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