在2016年至2020年间,在拉丁美洲提供体外膜氧化支持的经验
Camilo Pizarro1, Anderson Bermon2, Silvia Plata Vanegas3
1Servicio ECMO, Fundación Cardiovascular de Colombia, Bucaramanga, Colombia.
Medicina intensiva
|January 12, 2025
概括
拉丁美洲的体外膜氧化疗法 (ECMO) 显示出有前途的结果. 参与中心的生存率与全球基准相提并论,证明了先进重症监护的运营能力.
科学领域:
- 临界护理医学 临界护理医学
- 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:
- 身体外膜氧化 (ECMO) 是严重心肺衰竭的生命支持技术.
- 拉丁美洲ECMO的采用和结果仍然没有充分的记录.
- 了解区域能力对于推进重症监护至关重要.
研究的目的:
- 记录拉丁美洲医疗机构ECMO治疗的经验和结果.
- 评估该地区ECMO中心的运营特点和患者存活率.
- 将拉丁美洲ECMO结果与国际标准进行比较.
主要方法:
- 在7个拉丁美洲国家的私营和公共卫生机构进行了一项横截面研究.
- 从13个ECMO重症监护病房 (ICU) 收集了关于中心特征,人员配置,干预和患者结果的数据.
- 信息包括ECMO设备,护士与患者的比例,支持性指示和成人,儿科和新生儿患者的生存率.
主要成果:
- 在2016年至2020年期间,13个ECMO单位报告了133个控制台和1629个ECMO注射器.
- 成人 (1018),儿科 (468) 和新生儿 (143) 患者获得了ECMO支持.
- 总体平均存活率为55.7%,耐火性低氧症和心脏切除术后的休克分别是成人和儿科的主要适应症.
结论:
- 使用ECMO治疗的拉丁美洲ICU显示出显著的操作能力.
- 该研究强调了ECMO的成功实施,实现了与国际基准可比的生存率.
- 这些发现强调了该地区先进重症监护能力的不断增长.
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