体外膜肺氧合
心源性休克
医学
重症监护医学
多学科方法
体外循环
多学科团队
重症监护室
体外
挽救疗法
生命维持
重症监护
临床实习
外科
护理部
心脏病学
化疗
心肌梗塞
社会学
社会科学
作者
Arthur Le Gall,Arnaud Follin,Bernard Cholley,Jean Mantz,Nadia Aïssaoui,Romain Pirracchio
标识
DOI:10.1016/j.accpm.2017.08.007
摘要
The use of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) as a salvage therapy in cardiogenic shock is becoming of current practice. While VA-ECMO is potentially a life-saving technique, results are sometimes mitigated, emphasising the need for selecting the right indication in the right patient. This relies upon a clear definition of the individual therapeutic project, including the potential for recovery as well as the possible complications associated with VA-ECMO. To maximise the benefits of VA-ECMO, the basics of extracorporeal circulation should be perfectly understood since VA-ECMO can sometimes be detrimental. Hence, to be successful, VA-ECMO should be used by teams with sufficient experience and initiated after a thorough multidisciplinary discussion considering patient's medical history, pathology as well the anticipated evolution of the disease.
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