[周围外体膜氧化在周围手术医学:原则,指示和挑战]
Stany Sandrio1, Grietje Beck2, Joerg Krebs2
1Klinik für Anästhesiologie, Operative Intensiv- und Schmerzmedizin, Universitätsmedizin Mannheim, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland. stany.sandrio@umm.de.
Chirurgie (Heidelberg, Germany)
|August 15, 2024
概括
体外膜氧化 (ECMO) 越来越多地用于严重呼吸衰竭和心脏性休克. 了解外周ECMO,包括毒性 (V-V) 和静脉 (V-A) 类型,对于管理这些复杂患者的外科医生来说至关重要.
科学领域:
- 心血管医学 心血管医学
- 肺部病理学 肺部病理学
- 手术重症监护手术重症监护
背景情况:
- 外体膜氧化 (ECMO) 的使用在重症监护病房显著增加.
- 这种增加是由严重的呼吸衰竭和心脏性休克病例所驱动的.
- 因此,在ECMO患者身上进行了更多的侵入性手术和手术.
研究的目的:
- 提供对外围ECMO系统的基本理解.
- 在手术患者中概述ECMO的临床指示.
- 专注于静脉 (V-V) 和静脉动脉 (V-A) ECMO程序.
主要方法:
- 关于外围ECMO的当前文献的综述.
- 专注于有毒 (V-V) ECMO用于呼吸衰竭.
- 专注于静脉动脉 (V-A) ECMO用于心脏性休克.
主要成果:
- 外围ECMO,包括V-V和V-A配置,是一个至关重要的支持系统.
- 根据患者的病情,每个ECMO类型都有特定的适应症.
- 外科医生需要对这些系统的了解,以便有效地管理患者.
结论:
- 对于执业外科医生来说,掌握ECMO原则和适应症的知识是必不可少的.
- 本综述有助于非心脏外科医生管理需要外围ECMO的患者.
- 了解V-V和V-A ECMO支持在关键环境中改善患者护理.
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