Clinical Pearls of Venoarterial Extracorporeal Membrane Oxygenation for Cardiogenic Shock
Korean Circulation Journal
;
: 657-677, 2019.
Artigo
em Inglês
| WPRIM
| ID: wpr-759465
ABSTRACT
Extracorporeal membrane oxygenation (ECMO) is a technique that uses a pump to drain blood from a body, circulate blood through a membrane lung, and return the oxygenated blood back into the body. Venoarterial (VA) ECMO is a simplified version of the heart-lung machine that assists native pulmonary and/or cardiac function. VA ECMO is composed of a drainage cannula in the venous system and a return cannula in the arterial system. Because VA ECMO can increase tissue perfusion by increasing the arterial blood flow, it is used to treat medically refractory cardiogenic shock or cardiac arrest. VA ECMO has a distinct physiology that is referred to as differential flows. It can cause several complications such as left ventricular distension with pulmonary edema, distal limb ischemia, bleeding, and thromboembolism. Physicians who are using this technology should be knowledgeable on the prevention and management of these complications. We review the basic physiology of VA ECMO, the mechanism of complications, and the simple management of VA ECMO.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Oxigênio
/
Perfusão
/
Fisiologia
/
Complicações Pós-Operatórias
/
Edema Pulmonar
/
Choque
/
Choque Cardiogênico
/
Tromboembolia
/
Oxigenação por Membrana Extracorpórea
/
Drenagem
Idioma:
Inglês
Revista:
Korean Circulation Journal
Ano de publicação:
2019
Tipo de documento:
Artigo
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