Respiratory support of extracorporeal membrane oxygenation in children
10.3760/cma.j.issn.1673-4912.2017.02.004
- VernacularTitle:儿童体外膜肺氧合呼吸支持技术
- Author:
Zhujin LU
;
Guoping LU
;
Gangfeng YAN
- Keywords:
Extracorporeal membrane oxygenation;
Respiratory support
- From:
Chinese Pediatric Emergency Medicine
2017;24(2):98-104
- CountryChina
- Language:Chinese
-
Abstract:
Patients with respiratory crisis occupied a large numbers in extracorporeal membrane oxy-genation(ECMO) group. ECMO is able to give a plenty amount of gas exchange for body essential metabolic needs by ECMO oxygenator whoever the lungs are of function or not. The key indications for respiratory ECMO are that the patient had no response to all medical treatment except ECMO,and the origin cause of the disease is potentially recoverable. Besides the contraindications and accessibility, ECMO has no special settings among the different ages or cause of diseases. The VV-ECMO is preferred for respiratory support. VA-ECMO should be considered if cardiovascular failure exists. ECMO may offer a powerful respiratory support to patient with critically ill conditions until recovery. The outcomes are influenced by some factors including the reversibility and the cause of diseases.