Research progress of veno-venous extracorporeal membrane oxygenation (VV-ECMO) in the treatment of adult severe respiratory failure
- VernacularTitle:静脉-静脉体外膜肺氧合(VV-ECMO)治疗成人重症呼吸衰竭的研究进展
- Author:
Fengxia LU
1
;
Hao YAO
1
;
Yun REN
1
;
Qingguo LI
1
Author Information
1. Cardiovascular Center of The Second Affiliated Hospital of Nanjing Medical University, Nanjing, 210011, P.R.China
- Publication Type:Journal Article
- Keywords:
Veno-venous extracorporeal membrane oxygenation (VV-ECMO);
respiratory failure;
acute respiratory distress syndrome (ARDS);
review
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2020;27(12):1485-1490
- CountryChina
- Language:Chinese
-
Abstract:
As an extracorporeal life support technology, veno-venous extracorporeal membrane oxygenation (VV-ECMO) has been demonstrated its role in the treatment of patients with severe respiratory failure. Its main advantages include the ability to maintain adequate oxygenation and remove excess CO2, increase oxygen delivery, improve tissue perfusion and metabolism, and implement lung protection strategies. Clinicians should accurately assess and identify the patient's condition, timely and accurately carry out VV-ECMO operation and management. This article will review the patient selection, cannulation strategy, anticoagulation, clinical management and weaning involved in the application of VV-ECMO.