关于成人静脉动脉 ECMO 期间双循环生理学和术语的立场文件。

IF 27.1 1区医学 Q1 CRITICAL CARE MEDICINE

Intensive Care Medicine Pub Date : 2024-11-18 DOI:10.1007/s00134-024-07645-8

Jenelle Badulak, Darryl Abrams, Andrew M Luks, Bishoy Zakhary, Steven A Conrad, Robert Bartlett, Graeme MacLaren, Leen Vercaemst, Roberto Lorusso, Lars Mikael Broman, Cara Agerstrand, Susanna Price, Alain Combes, Giles Peek, Eddy Fan, Kiran Shekar, John Fraser, Daniel Brodie

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引用次数: 0

摘要

在静脉-动脉体外膜氧合（VA-ECMO）过程中，当来自成人心肺的主动脉原生血流与来自人工心肺的逆行血流相遇时，就会在血流混合点两侧形成两个独立的循环。这种现象被称为双循环，其特点是循环之间的氧气和二氧化碳含量不同。目前，描述 VA-ECMO 这种生理现象的术语还不够清晰，因此我们努力命名和定义这些术语，以促进清晰的沟通和对这些患者的正确临床管理。

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Position paper on the physiology and nomenclature of dual circulation during venoarterial ECMO in adults.

When native blood flow through the aorta from the adult heart and lungs meets retrograde blood flow from an artificial heart and lung during venoarterial extracorporeal membrane oxygenation (VA-ECMO), the result is the creation of two separate circulations on either side of the blood flow mixing point. This phenomenon is known as dual circulation and is characterized by different content of oxygen and carbon dioxide between the circulations. There is currently a lack of clarity surrounding the nomenclature to describe this physiologic phenomenon in VA-ECMO and thus we endeavor to name and define these terms to facilitate clear communication and proper clinical management of these patients.

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来源期刊

Intensive Care Medicine 医学-危重病医学

CiteScore

51.50

自引率

2.80%

发文量

326

审稿时长

1 months

期刊介绍： Intensive Care Medicine is the premier publication platform fostering the communication and exchange of cutting-edge research and ideas within the field of intensive care medicine on a comprehensive scale. Catering to professionals involved in intensive medical care, including intensivists, medical specialists, nurses, and other healthcare professionals, ICM stands as the official journal of The European Society of Intensive Care Medicine. ICM is dedicated to advancing the understanding and practice of intensive care medicine among professionals in Europe and beyond. The journal provides a robust platform for disseminating current research findings and innovative ideas in intensive care medicine. Content published in Intensive Care Medicine encompasses a wide range, including review articles, original research papers, letters, reviews, debates, and more.