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ID 112039
タイトル別表記
Review of extra corporeal membrane oxygenation (ECMO) in critically ill patients
著者
キーワード
Veno-arterial ECMO
Veno-venous ECMO
Pulmonary or cardiac failure
extracorporeal life support
cardiopulmonary resuscitation
資料タイプ
学術雑誌論文
抄録
Extra Corporeal Membrane Oxygenation (ECMO) indications and usage has strikingly progressed over the last 20 years. It has become essential tool in the care of adults and children with severe cardiac and pulmonary dysfunction refractory to conventional management. Most commonly, it is instituted in an emergency or urgent situation after failure of other treatment modalities. It is used as temporary support, usually awaiting recovery of organs, or a bridging treatment to a ventricular assist device or cardiac transplantation.
ECMO can be deployed in a veno-arterial configuration for the treatment of cardiogenic shock or as a tool for cardiopulmonary resuscitation. This is usually seen post cardiac surgery, septic shock, in severe cardiac failure due to almost any other cause ; cardiomyopathy, myocarditis, acute coronary syndrome with cardiogenic shock and cardiopulmonary arrest. Veno-venous ECMO is used for respiratory failure and usually involves peripheral cannulation using the femoral veins and/or internal jugular vein. The indications for veno-venous ECMO are respiratory failure, most commonly due to pneumonia, adult respiratory distress syndrome (ARDS), or primary graft failure following lung transplantation.
In this article we will provide a review of ECMO development, clinical indications, complications, and patients’ management while on ECMO.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
73
5-6
開始ページ
207
終了ページ
220
並び順
207
発行日
2017-12-25
フルテキストファイル
言語
jpn
著者版フラグ
出版社版
部局
病院