Awake veno-venous extracorporeal membrane oxygenation: practical aspects and considerations.

IF 2.9 3区 医学 Q1 ANESTHESIOLOGY
Minerva anestesiologica Pub Date : 2025-01-01 Epub Date: 2024-12-10 DOI:10.23736/S0375-9393.24.18228-4
Gianluca Paternoster, Pietro Bertini, Fabio Sangalli, Sabino Scolletta
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引用次数: 0

Abstract

Veno-venous extracorporeal membrane oxygenation (ECMO) is a life-saving technique in the armamentarium of critical care medicine. It involves extracorporeal blood circulation outside the body, providing temporary respiratory support while allowing the lungs to heal. Traditionally, patients undergoing ECMO require sedation to minimize discomfort and facilitate mechanical ventilation. The "awake ECMO" concept emerged as a promising strategy to mitigate sedation-related complications and facilitate early mobilization in critically ill patients. In this article, we describe the potential advantages of awake ECMO and its role in preserving respiratory muscle function, enhancing rehabilitation prospects, and improving patient outcomes.

清醒静脉-静脉体外膜氧合:实践方面和考虑。
静脉-静脉体外膜氧合(ECMO)是危重病医学装备中的一项救命技术。它涉及体外血液循环,在允许肺部愈合的同时提供暂时的呼吸支持。传统上,接受ECMO的患者需要镇静以减少不适并促进机械通气。“清醒ECMO”概念作为缓解镇静相关并发症和促进危重患者早期动员的一种有希望的策略而出现。在本文中,我们描述了清醒ECMO的潜在优势及其在保护呼吸肌功能、增强康复前景和改善患者预后方面的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Minerva anestesiologica
Minerva anestesiologica 医学-麻醉学
CiteScore
4.50
自引率
21.90%
发文量
367
审稿时长
4-8 weeks
期刊介绍: Minerva Anestesiologica is the journal of the Italian National Society of Anaesthesia, Analgesia, Resuscitation, and Intensive Care. Minerva Anestesiologica publishes scientific papers on Anesthesiology, Intensive care, Analgesia, Perioperative Medicine and related fields. Manuscripts are expected to comply with the instructions to authors which conform to the Uniform Requirements for Manuscripts Submitted to Biomedical Editors by the International Committee of Medical Journal Editors.
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