Extracorporeal support of the respiratory system

IF 0.3 Q4 ANESTHESIOLOGY

Anaesthesia and Intensive Care Medicine Pub Date : 2025-07-09 DOI:10.1016/j.mpaic.2025.05.011

Brooke Riley, Julia Coull, Søren Aalbæk Madsen

引用次数: 0

Abstract

Extracorporeal membrane oxygenation (ECMO) support of the respiratory system has undergone significant evolution over the past decade. Historically used as rescue therapy, the treatment is now being utilized earlier in the disease course, and its indications for use expanded. The coronavirus disease (COVID-19) pandemic has further increased the experience of ECMO centres and expanded the body of evidence. This article will review the physiology of veno-venous (VV) ECMO, control of oxygenation and carbon dioxide, principal equipment, patient selection and timing, complications and weaning from VV ECMO.

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呼吸系统的体外支持

在过去的十年里，呼吸系统的体外膜氧合（ECMO）支持经历了重大的发展。该疗法历来被用作抢救疗法，现在在病程较早的时候使用，其使用适应症也扩大了。冠状病毒病（COVID-19）大流行进一步增加了ECMO中心的经验，并扩大了证据体系。本文将综述静脉-静脉ECMO的生理、氧合和二氧化碳的控制、主要设备、患者选择和时机、并发症和VV ECMO的脱机。

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

Anaesthesia and Intensive Care Medicine ANESTHESIOLOGY-

CiteScore

0.50

自引率

0.00%

发文量

152

期刊介绍： Anaesthesia and Intensive Care Medicine, an invaluable source of up-to-date information, with the curriculum of both the Primary and Final FRCA examinations covered over a three-year cycle. Published monthly this ever-updating text book will be an invaluable source for both trainee and experienced anaesthetists. The enthusiastic editorial board, under the guidance of two eminent and experienced series editors, ensures Anaesthesia and Intensive Care Medicine covers all the key topics in a comprehensive and authoritative manner. Articles now include learning objectives and eash issue features MCQs, facilitating self-directed learning and enabling readers at all levels to test their knowledge. Each issue is divided between basic scientific and clinical sections. The basic science articles include anatomy, physiology, pharmacology, physics and clinical measurement, while the clinical sections cover anaesthetic agents and techniques, assessment and perioperative management. Further sections cover audit, trials, statistics, ethical and legal medicine, and the management of acute and chronic pain.