Contemporary Evidence Summary of Strategies for Weaning From Extracorporeal Membrane Oxygenation in Adult Patients
10.3969/j.issn.1000-3614.2024.09.009
- VernacularTitle:成人体外膜氧合撤机策略——文献总结
- Author:
Chaonan WO
1
;
Shuai ZHANG
;
Weifang FAN
;
Huiping YAO
;
Lili GE
;
Ruoyu LUO
;
Dechuan DENG
;
Juanhong CHEN
Author Information
1. 浙江省人民医院(杭州医学院附属人民医院)重症医学科,杭州 310014
- Keywords:
extracorporeal membrane oxygenation;
weaning;
evidence;
literature summary
- From:
Chinese Circulation Journal
2024;39(9):896-902
- CountryChina
- Language:Chinese
-
Abstract:
Objectives:To retrieve,evaluate and summarize the contemporary evidence of strategies for weaning from extracorporeal membrane oxygenation(ECMO)of adult patients,and to provide evidence-based reference for clinical practice. Methods:The Web of Science,Embase,Cochrane Library,PubMed,Wanfang Database,CNKI,VIP website,SinoMed,BMJ Best Practice,National Institute for Health and Care Excellence,Joanna Briggs Institute Library,UpToDate and the website of Agency for Healthcare Research and Quality,Society of Critical Care Medicine,American Association of Critical-Care Nurses,European Society of Intensive Care Medicine and Extracorporeal Life Support Organization were researched to collect the literature related to randomized controlled trials,systematic reviews,guidelines,evidence summaries,expert consensuses and clinical decisions in this field.The time limit for the retrieval is from the inception of databases until July 2023. Results:A total of 13 related literature were retrieved,including 4 guidelines,4 expert consensuses,3 clinical decisions and 2 system reviews.Totally 42 evidences were formulated based on retrieved literature,including adequately accessing the ability of gas exchange before weaning from veno-venous ECMO(V-V ECMO)and withdrawing from veno-arterial ECMO(V-A ECMO)as soon as possible when patients's heart function has recovered,involving six aspects such as team composition,anticoagulation measures,assessment before weaning,weaning implementation,cannula and wound management and quality measures. Conclusions:It is suggested to build a professional ECMO team based on the actual hospital situation,to follow the contemporary evidence to standardize the weaning process of patients from ECMO to ensure the patients'safety and improve the outcomes.
