ECMO的适应症包括可逆病情,预计死亡率≥80%。尽管最初ECMO是为了拯救出生后呼吸衰竭的新生儿而开发的,但近年来,ECMO接受成人患者的数量已超过了儿科和新生儿患者的总和。接受ECMO治疗的患者代表了危重病房中最严重病情的患者,他们患有多器官功能障碍和相关的后遗症的风险很高,包括急性肾损伤(AKI)和液体过多(FO)。连续...
①2022中国ECMO调查报告,侯晓彤 ②Complications Associated With Venovenous Extracorporeal Membrane Oxygenation-What Can Go Wrong? Teijeiro-Paradis R, Gannon WD, Fan E. Crit Care Med. 2022;10.1097/CCM.0000000000005673. doi:10.1097/CCM.0000000000005673 END 审...
[10] Murphy DA, Hockings LE, Andrews RK, Aubron C, Gardiner EE, Pellegrino VA, et al. Extracorporeal membrane oxygenation-hemostatic complications. Transfus Med Rev 2015;29(2):90-101. doi: 10.1016/j.tmrv.2014.12.001. [11] 司念,李可,魏晴.体外膜肺氧...
Although there has been a significant increase in the rates of use of this hemodynamic support in recent years, with greater safety, complications can still be observed. In this context, the present study aims to identify the main complications during ECMO. It is configured in an integrative ...
血管内皮损伤 手术创伤 持续缺血、缺氧 严重感染、内毒素 TF释放血管内膜完整性破坏凝血过程激活并放大Complications Top 3: Bleeding /thrombsis 32%Infection 17%Oxygenator plasma leakage /hemolysis 16%抗凝ECMO成功的第一步Mayo Clinic, Anticoagulation and coagulation management for ECMO.Semin Cardiothorac 22、 ...
21.1% (8/38)], and the differences were statistically significant (all P < 0.05). Conclusion ECMO rapid response team can shorten the rescue preparation time, reduce the occurrence of complications, improve the team ...
ECMO experience: Mortality 47 % (7/15); 4 patients died due to complications directly related to ECMO therapy. Intensive care unit (ICU) stay 46.6 ± 45 days (range of 4 to 138). Hospital stay 72.4 ± 98 days (range of 4 to 320). Case-control: The mortality in the control group ...
血管内皮损伤 手术创伤 持续缺血、缺氧 严重感染、内毒素 TF释放Complications Top 3: Bleedi 2、ng 44.4%Infection 37.8%1. Oxygenator plasma leakage /hemolysis 35.6%抗凝抗凝ECMO成功的第一步成功的第一步抗凝管理抗凝管理l目标是预防预防临床中由于血液与大量的异物表面接触而形成血栓。l个体化原则。l肝素化不...
Complications Complications arising from ECMO support are very common and mainly include bleeding, infection, renal failure, air embolism or thromboembolism, stroke,and limb ischemia [57,58,59]. This depends on the type of ECMO support (V–A or V–V) and the cannulation strategy used [60], ...
Thomas J et al. Bleeding and Thrombotic Complications in the Use of Extracorporeal Membrane Oxygenation. Semin Thromb Hemost. 2018 Feb;44(1):20-29. 研究背景 体外膜氧合(ECMO)越来越多地应用于单独心衰或呼衰或合并心衰患者的治疗。大多...