ECMO in cardiac arrest and cardiogenic shock

被引:9
|
作者
Napp, L. C. [1 ]
Kuehn, C. [2 ]
Bauersachs, J. [1 ]
机构
[1] Hannover Med Sch, Dept Cardiol & Angiol, Acute & Adv Heart Failure Unit, Cardiac Arrest Ctr, Carl Neuberg Str 1, D-30625 Hannover, Germany
[2] Hannover Med Sch, Dept Cardiothorac Transplantat & Vasc Surg, Hannover, Germany
关键词
Cardiogenic shock; Cardiac arrest; Sudden cardiac death; Cardiopulmonary resuscitation; ECMO; Mechanical circulatory support; Microaxial pump; Extracorporeal resuscitation; EXTRACORPOREAL MEMBRANE-OXYGENATION; ACUTE MYOCARDIAL-INFARCTION; PERCUTANEOUS CORONARY INTERVENTION; INTERNATIONAL-LIAISON-COMMITTEE; EUROPEAN RESUSCITATION COUNCIL; MECHANICAL CIRCULATORY SUPPORT; LEFT-VENTRICULAR DECOMPRESSION; AMERICAN-HEART-ASSOCIATION; LIFE-SUPPORT; CARDIOPULMONARY-RESUSCITATION;
D O I
10.1007/s00059-016-4523-4
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Cardiogenic shock is an acute emergency, which is classically managed by medical support with inotropes or vasopressors and frequently requires invasive ventilation. However, both catecholamines and ventilation are associated with a worse prognosis, and many patients deteriorate despite all efforts. Mechanical circulatory support is increasingly considered to allow for recovery or to bridge until making a decision or definite treatment. Of all devices, extracorporeal membrane oxygenation (ECMO) is the most widely used. Here we review features and strategical considerations for the use of ECMO in cardiogenic shock and cardiac arrest.
引用
收藏
页码:27 / 44
页数:18
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