The clinical experience of emergency medical team-initiated extracorporeal membrane oxygenation
10.3760/cma.j.issn.1671-0282.2017.10.003
- VernacularTitle:急诊医护团队主导体外膜肺氧合应用的经验探讨
- Author:
Yong MEI
1
;
Xufeng CHEN
;
Jinsong ZHANG
;
Jinru LV
;
Gang ZHANG
;
Deliang HU
;
Huimin HUANG
;
Xihua HUANG
;
Yongnian LIANG
;
Yongfeng SHAO
Author Information
1. 南京医科大学第一附属医院急诊医学中心
- Keywords:
Emergency physician;
ECMO;
Respiratory failure;
Circulatory failure;
Cardiac arrest
- From:
Chinese Journal of Emergency Medicine
2017;26(10):1115-1119
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the efficacy of extracorporeal membrane oxygenation (ECMO)utilization in Emergency Department (ED),as well as the establishment of emergency ECMO team.Methods A retrospective analysis was carried out in 16 patients treated with ECMO between April 2015 to December 2016 in ED.The clinical data including demographics,diagnosis,initiating ECMO timing,place of ECMO establishment,intubation approaches,duration of ECMO,complications and outcomes were collected and analyzed.Results Eight patients were successfully weaned from ECMO,and 7 of them survived to discharge from hospital.The duration of ECMO support was 4 to 384 hours.The emergency ECMO team was set up.Conclusions Emergency medical team can successfully operate the ECMO process.The emergency medical team-initiated ECMO can provide effectively adjuvant measures to support patients with respiratory failure,circulatory failure and cardiac arrest.
