心脏骤停和心源性休克的体外生命支持

Q4 Medicine

US Cardiology Review Pub Date : 2021-11-10 DOI:10.15420/usc.2021.13

Andrea Elliott, Garima Dahyia, R. Kalra, T. Alexy, J. Bartos, M. Kosmopoulos, D. Yannopoulos

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引用次数: 2

摘要

心源性休克的发病率和识别率的上升导致了静脉-动脉体外膜肺氧合（VA-ECMO）的使用增加。随着这种疗法的临床经验的增加，描述制定具有成功临床结果的VA-ECMO计划所需的临床和后勤考虑的观察和随机数据也迅速增加。本综述的目的是在与VA-ECMO项目相关的四个关键主题的背景下总结这些当代数据：患者选择原则；VA-ECMO的基本血液动力学和技术原理；VA-ECMO治疗禁忌症；以及在VA-ECMO治疗环境中遇到的常见并发症和重症监护注意事项。

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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Extracorporeal Life Support for Cardiac Arrest and Cardiogenic Shock

The rising incidence and recognition of cardiogenic shock has led to an increase in the use of veno-arterial extracorporeal membrane oxygenation (VA-ECMO). As clinical experience with this therapy has increased, there has also been a rapid growth in the body of observational and randomized data describing the clinical and logistical considerations required to institute a VA-ECMO program with successful clinical outcomes. The aim of this review is to summarize this contemporary data in the context of four key themes that pertain to VA-ECMO programs: the principles of patient selection; basic hemodynamic and technical principles underlying VA-ECMO; contraindications to VA-ECMO therapy; and common complications and intensive care considerations that are encountered in the setting of VA-ECMO therapy.

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来源期刊

US Cardiology Review Medicine-Cardiology and Cardiovascular Medicine

CiteScore

1.10

自引率

0.00%

发文量

审稿时长

10 weeks

期刊介绍： US Cardiology Review (USC) is an international, US-English language, peer-reviewed journal that is published bi-annually and aims to assist time-pressured physicians to stay abreast of key advances and opinion in the area of cardiovascular disease. The journal comprises balanced and comprehensive review articles written by leading authorities. The journal provides updates on a range of salient issues to support physicians in developing their knowledge and effectiveness in day-to-day clinical practice. The journal endeavours to support the continuous medical education of specialist and general cardiologists and disseminate knowledge of the field to the wider cardiovascular community.