成人体外膜肺氧合技术操作规范

2025-4-25 14:50| 发布者: 国正行| 查看: 170| 评论: 0

摘要: 体外膜肺氧合( ECMO)是体外生命支持( ECLS)技术的一种,用于暂时的部分或完全替代患者心肺功能,使其得以充分休息,从而为原发病的诊治争取时间,是治疗严重呼吸/循环衰竭的重要支持手段。 ... ...


 

附录:

成人体外膜肺氧合技术操作规范(2024 年版)

编写专家委员会

 

指导专家(按姓氏笔画排序) :

马晓春、吉冰洋、杜斌、邱海波、陈德昌、侯晓彤、高占成、曹彬、康焰、解立新、黎毅敏

牵头单位及专家:中日友好医院/詹庆元

编者(按姓氏笔画排序) :

马新华、王春耀、左六二、邢丽华、吕立文、刘刚、刘松桥、闫圣涛、孙兵、杜中涛、李欣、李敏、李进华、李绪言、李斌飞、宋云林、张国强、罗红、周成斌、耿爽、夏金根、徐永昊、翁利、黄曼、黄琳娜、屠国伟、程真顺、潘盼

秘书组:

顾思超、贺航咏、李敏、崔晓阳、赖巍、黄絮、叶清华、吴小静

 

 

参考文献:

[1] Blum JM, Lynch WR, Coopersmith CM. Clinical and bllig review of extracorporeal membrane oxygenation. Chest. 2015;147(6):1 697-703.

[2] Sidebotham D, McGeorge A, McGuinness S, Edwards M, Willcox T, Beca J. Extracorporeal membrane oxygenation for treating severe cardiac and respiratory disease in adults: Part 1--overview of extracorporeal membrane oxygenation. J Cardiothorac Vasc Anesth. 2009;23(6):886-92.

[3] Morelli A, Del Sorbo L, Pesenti A, Ranieri VM, Fan E. Extracorporeal carbon dioxide removal (ECCO(2)R) in patients with acute respiratory failure. Intensive Care Med.2017;43(4);:519-30.

[4] 国家卫生健康委员会(2022).国家卫生健康委办公厅关于印发国家限制类技术目录和临床应用管理规范(2022年版)的通知.G11体外膜肺氧合(ECMO)技术临床应用管理规范(2022年版) . htt:/www.nhc gov.cn/yg/s7657/2204/efe9f8cal3f499c8e1f70844fe96144/files/15f8e6faf248490fa5534cd7b500feb2. pdf

[5] 中国医师协会呼吸医师分会危重症医学专业委员会,中华医学会呼吸病学分会危重症医学学组.体外膜式氧合治疗成人重症呼吸衰竭推荐意见J]中华结核和呼吸杂志2019,42( 9 ): 660-684.

[6] Tonna JE, Abrams D, Brodie D, Greenwood JC, Rubio MS, Jose A, et al. Management of adult patients supported with venovenous extracorporeal membrane oxygenation (VV ECMO): guideline from the extracorporeal life support organization (ELSO).ASAIO J 2021;67(6):601-10.

[7] Guglin MZucker MJ, Bazan VM et al. Venoarterial ECMO for Adults:JACC Scientific Expert Panel.J Am Coll Cardiol 2019;73(6):698-716. DOI:10. 1016/jacc.2018.11.038

[8] 侯晓彤.成人体外膜氧合循环辅助专家共识[D中华医学杂志,

2018, 98(12):9.DOI:CNKI:SUN:ZZYD.0.2018-02-003.

[91]中国心胸血管麻醉学会中华医学会麻醉学分会中国医师协会麻醉学医师分会等.

不同情况下成人体外膜肺氧合临床应用专家共识(2020)[]中国循环杂志,2020(011):035.

[10]Extracorporeal Life Support: The ELSO Red Book 6th Edition.

[11]Brogan TV, Lequier L, Lorusso R, MacI aren G, Peek GJ: Extracorporeal life support:

The ELSO red book. (5th ed.). Ann Arbor, MI: Extracorporeal Life Support Organization. 2017.

[12]Gajkowski E F, Herrera G, Hatton L, Velia Antonini M, Vercaemst L, Cooley E. ELSO Guidelines for Adult and Pediatric Extracorporeal Membrane Oxygenation Circuits[J]. ASAIO Journal, 2022, 68(2): 133-152.

[13]O'Gara BP, Tung MG, Kennedy KF, et al. Outcomes With Single-Site Dual-Lumen Versus Multisite Cannulation for Adults With COVID-19 Respiratory Failure Receiving Venovenous Extracorporeal Membrane Oxygenation. Critical Care Medicine 51(12):p 1716-1726, December 2023.

[14]Richardson ASC, Tonna JE, Nanjayya V, Nixon P, Abrams DC, et al. Extracorporeal Cardiopulmonary Resuscitation in Adults. Interim Guideline Consensus Statement From the Extracorporeal Life Support Organization. ASAIO J. 2021 Mar 1;67(3):221-228.

[15]Olson S R, Murphree C R, Zonies D, et al. Thrombosis and Bleeding in Extracorporeal Membrane Oxygenation (ECMO) Without Anticoagulation: A Systematic Review. ASAIO J, 2021,67(3):290-296.

[16]Zakhary B, Vercaemst L, Mason P, Antonini MV, Lorusso R, Brodie D. How 1 approach membrane lung dysfunction in patients receiving ECMO. Crit Care. 2020,24(1):671.

[17]Tonna J E, Abrams D, Brodie D, et al. Management of Adult Patients Supported with Venovenous Extracorporeal Membrane Oxygenation (VV ECMO): Guideline from the Extracorporeal Life Support Oganization (ELSO) [J]. ASAIO J, 2021, 67(6):601-10.

[18]Lorusso R, Shekar K, MacLaren G, et al. ELSO Interim Guidelines for Venoarterial Extracorporeal Membrane Oxygenation in Adult Cardiac Patients [J]. ASAIO J, 2021,67(8): 827-44.

[19]Tonna, JE, et al, Management of Adult Patients Supported with Venovenous Extracorporeal Membrane Oxygenation (VV ECMO): Guideline from the Extracorporeal Life Support Organization (ELSO). Asaio j, 2021. 67(6); p.601-610.

 [20]Abrams, D., et al, Mechanical Ventilation for Acute Respiratory Distress Syndrome during Extracorporeal Life Support. Research and Practice. Am J Respir Crit Care Med, 2020. 201(5): p. 514-525.

[21]Schmidt, M, et al, Mechanical Ventilation Management during Extracorporeal Membrane Oxygenation for Acute Respiratory Distress Syndrome. An International Multicenter Prospective Cohot. Am J Respir Crit Care Med, 2019. 200(8): p.1002-1012.

[22]Assouline, B., A. Combes, and M. Schmidt, Setting and Monitoring of Mechanical Ventilation During Venovenous ECMO. Crit Care, 2023. 27(1):p. 95.

[23]Krishnan S, Schmidt GA. Hemodynamic monitoring in the extracorporeal membrane oxygenation patient. Curr Opin Crit Care. 2019 Jun;25(3):285-291.

[24]Doufle G, Roscoe A, Billia F, Fan E. Echocardiography for adult patients supported with extracorporeal membrane oxygenation. Crit Care. 2015 Oct 2;19:326.

[25]Yolanda Pena-Lopez,Miriam C Machado, Jordi Rello.Infection in ECMO patients:Changes in Epidemiology, Diagnosis and Prevention. Anaesth Crit Care Pain Med.2023; 2:101319.

[26]Millar JE, Fanning JP, McDonald CI, McAuley DF, Fraser JF. The inflammatory response to extracorporeal membrane oxygenation (ECMO): a review of the pathophysiology. Cnit Care. 2016; 20: 387.

1234567

路过

雷人

握手

鲜花

鸡蛋


本站信息仅供参考,不能作为诊断医疗依据,所提供文字图片视频等信息旨在参考交流,如有转载引用涉及到侵犯知识产权等问题,请第一时间联系我们处理

在线客服|关于我们|移动客户端 | 手机版|电子书籍下载|中医启疾光网 (鄂ICP备20008850号 )

Powered by Discuz! X3.5 © 2001-2013 Comsenz Inc. Designed by zyqjg.com

版权

返回顶部