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Published on: October 24, 2018
身体外膜氧化 身体外膜氧化
Craig R Wheeler1, Kevin J Bullock2
1Department of Respiratory Care and Department of Extracorporeal Membrane Oxygenation, Boston Children's Hospital, Boston, Massachusetts. craig.wheeler@childrens.harvard.edu.
体外膜氧化 (ECMO) 越来越多地用于心肺支. 本综述综合了2022年关于管理通风,抗凝药以及接受ECMO的不同患者群体的结果的文献.
科学领域:
- 关键护理医学 关键护理医学
- 心血管外科心血管外科
- 儿科重症监护室的儿童重症监护室
背景情况:
- 对于心肺支持而言,体外膜氧化 (ECMO) 的全球利用正在增加.
- 超过19万个ECMO病例被记录在国际体外生命支持组织注册表中.
- 基于证据的管理策略对于优化患者的治疗结果至关重要.
研究的目的:
- 审查和综合2022年关于ECMO管理的关键文献.
- 涵盖机械通风,容易的定位,抗凝,出血和神经病的结果.
- 讨论心脏ECMO和哈雷金综合征的具体问题.
主要方法:
- 从2022年开始对出版物的系统文献审查.
- 专注于涉及婴儿,儿童和成人接受ECMO的研究.
- 综合与重症监护干预和并发症相关的发现.
主要成果:
- 确定了ECMO患者机械通风策略的进展.
- 突出了最佳的抗凝血方案和治疗出血并发症.
- 在儿科和成人ECMO群体中总结了神经学结果和风险因素.
- 解决心脏ECMO和哈雷金综合征的特定挑战.
结论:
- 优化通风和抗凝管理对于ECMO的成功至关重要.
- 仔细监测出血和神经系统状况可以提高患者的安全性.
- 需要进一步的研究来完善ECMO协议,以适应不同患者群体.
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