Extrakorporale Membranoxygenierung
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- 作者：PD Dr. S. David ; Dr. L. C. Napp ; PD Dr. C. Kühn ; Prof. Dr. M. M. Hoeper
- 关键词：SchlüsselwörterAkutes Atemnotsyndrom ; Lungenversagen ; Kardiogener Schock ; Lungenembolie ; Komplikationen ; ECMO
- 刊名：Der Internist
- 出版年：2016
- 出版时间：September 2016
- 年：2016
- 卷：57
- 期：9
- 页码：856-863
- 全文大小：498 KB
- 刊物类别：Medicine
- 刊物主题：Medicine & Public Health
Cardiology
General Practice and Family Medicine
Internal Medicine
Gastroenterology
Hepatology
Nephrology - 出版者：Springer Berlin / Heidelberg
- ISSN：1432-1289
- 卷排序：57
文摘
Extracorporeal membrane oxygenation (ECMO) is a special form of a miniaturized heart–lung machine with the ultimate goal to stabilize critically ill patients. Dependent on the cannulation strategy ECMO can support or replace heart and/or lung function. Medical indications and contraindications have to be evaluated thoroughly before cannulation. Moreover, before ECMO initiation a solid treatment aim has to be defined: bridge to recovery, bridge to decision, bridge to transplantation, and bridge to destination (i. e. implantation of a permanent assist device). Regarding invasiveness of the system, potential life-threatening complications, requirement of standardized monitoring of the patient and the device as well as tertiary care infrastructure, ECMO should exclusively be used in highly experienced tertiary centers.