Extracorporeal membrane oxygenation in adults: A practical guide for internists

被引:23
作者
Kulkarni, Tejaswini [1 ]
Sharma, Nirmal S. [1 ]
Diaz-Guzman, Enrique [1 ,2 ]
机构
[1] Univ Alabama Birmingham, Div Pulm Allergy & Crit Care Med, Birmingham, AL 35294 USA
[2] Univ Alabama Birmingham, ECMO Program, Cardiothorac Transplantat, 619 19th St S,Jefferson Tower 1102, Birmingham, AL 35294 USA
关键词
RESPIRATORY-FAILURE SECONDARY; CRITICALLY-ILL PATIENTS; LIFE-SUPPORT; MECHANICAL VENTILATION; DISTRESS-SYNDROME; CO2; REMOVAL; THERAPY; MORTALITY; EXTUBATION; INFECTION;
D O I
10.3949/ccjm.83a.15021
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The use of extracorporeal membrane oxygenation (ECMO) in adults has rapidly increased as the technology has evolved, although there is little definitive evidence that it is beneficial in this group. ECMO is now being used in acute respiratory distress syndrome (and was used extensively for this indication during the influenza H1N1 pandemic), as a bridge to lung or heart transplant, and in postcardiac arrest patients. We review the current evidence and indications for ECMO, focusing on its principles and practical aspects in adult patients with respiratory or cardiac failure.
引用
收藏
页码:373 / 384
页数:12
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