[Initiation timing of veno-arterial extracorporeal membrane oxygenation].
Zhonghua Yi Xue Za Zhi
; 102(25): 1874-1877, 2022 Jul 05.
Article
in Chinese
| MEDLINE | ID: covidwho-1911759
ABSTRACT
Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) is a salvage therapy for critical patients with refractory cardiogenic shock caused by various reasons. It can temporarily replace cardiopulmonary function, and rapidly improve hypoxemia, increase systemic oxygen content and remove carbon dioxide. Although the Extracorporeal Life Support Organization (ELSO) guideline proposed clear indication for VA-ECMO, the heterogeneity of cardiac pathogeny is large, so the clear timing of ECMO initiation is still vague. We discuss the timing of ECMO initiation for external cardiopulmonary resuscitation (ECPR) and cardiogenic shock which is caused by fulminant myocarditis, acute myocardial infarction, acute pulmonary embolism, acute right heart failure related to lung transplantation, corona virus disease 2019 (COVID-19)-associated cardiovascular collapse. Also, we look forward to making more suggestions for clinicians' judgment and choice for VA-ECMO.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pulmonary Embolism
/
Extracorporeal Membrane Oxygenation
/
Cardiopulmonary Resuscitation
/
COVID-19
Type of study:
Observational study
Limits:
Humans
Language:
Chinese
Journal:
Zhonghua Yi Xue Za Zhi
Year:
2022
Document Type:
Article
Affiliation country:
Cma.j.cn112137-20220415-00817
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