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Autor
Abdelbary, Akram 1 Abrams, Darryl 1 Bacchetta, Matthew 1 Bartlett, Robert H 1 Beck, James 1 Belohlavek, Jan 1 Brodie, Daniel 1 Chen, Yih-Sharng 1 Combes, Alain 1 Fan, Eddy 1 Ferguson, Niall D 1 Fowles, Jo-Anne 1 Fraser, John 1 Garan, A Reshad 1 Gong, Michelle 1 Hassan, Ibrahim F 1 Hodgson, Carol 1 Hou, Xiaotong 1 Hryniewicz, Katarzyna 1 Ichiba, Shingo 1
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Pracoviště
2nd Department of Medicine 1st Facult... 1 Adult Intensive Care Service The Prin... 1 Australia and New Zealand Intensive C... 1 Australian and New Zealand Intensive ... 1 Cardiothoracic ICU National Universit... 1 Cardiothoracic Surgery Department Hea... 1 Cardiothoracic and Vascular ICU Auckl... 1 Center for Cardiac Intensive Care Cap... 1 Clinical Perfusion and Anesthesia Sup... 1 Critical Care Department Cairo Univer... 1 Department of Anaesthesia and Intensi... 1 Department of Cardiology European Hos... 1 Department of Cardiology Fundación Ca... 1 Department of Cardiothoracic Surgery ... 1 Department of Emergency Medicine Teik... 1 Department of Internal Medicine 2 Uni... 1 Department of Surgery Columbia Univer... 1 Department of Surgery National Taiwan... 1 Department of Surgery University of M... 1 Department of Surgical Intensive Care... 1
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Autor
Abdelbary, Akram 1 Abrams, Darryl 1 Bacchetta, Matthew 1 Bartlett, Robert H 1 Beck, James 1 Belohlavek, Jan 1 Brodie, Daniel 1 Chen, Yih-Sharng 1 Combes, Alain 1 Fan, Eddy 1 Ferguson, Niall D 1 Fowles, Jo-Anne 1 Fraser, John 1 Garan, A Reshad 1 Gong, Michelle 1 Hassan, Ibrahim F 1 Hodgson, Carol 1 Hou, Xiaotong 1 Hryniewicz, Katarzyna 1 Ichiba, Shingo 1
- Organizace
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Pracoviště
2nd Department of Medicine 1st Facult... 1 Adult Intensive Care Service The Prin... 1 Australia and New Zealand Intensive C... 1 Australian and New Zealand Intensive ... 1 Cardiothoracic ICU National Universit... 1 Cardiothoracic Surgery Department Hea... 1 Cardiothoracic and Vascular ICU Auckl... 1 Center for Cardiac Intensive Care Cap... 1 Clinical Perfusion and Anesthesia Sup... 1 Critical Care Department Cairo Univer... 1 Department of Anaesthesia and Intensi... 1 Department of Cardiology European Hos... 1 Department of Cardiology Fundación Ca... 1 Department of Cardiothoracic Surgery ... 1 Department of Emergency Medicine Teik... 1 Department of Internal Medicine 2 Uni... 1 Department of Surgery Columbia Univer... 1 Department of Surgery National Taiwan... 1 Department of Surgery University of M... 1 Department of Surgical Intensive Care... 1
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Nejvíce citovaný článek - PubMed ID 21172504
- Abrams, Darryl
- Garan, A Reshad
- Abdelbary, Akram
- Bacchetta, Matthew
- Bartlett, Robert H
- Beck, James
- Belohlavek, Jan
- Chen, Yih-Sharng
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Fan, Eddy
Autor Fan, Eddy Interdepartmental Division of Critical Care Medicine, Departments of Medicine and Physiology, Institute for Health Policy, Management, and Evaluation, University of Toronto Research Institute, Toronto, Canada Extracorporeal Life Support Program, Toronto General Hospital, Toronto, Canada
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Ferguson, Niall D
Autor Ferguson, Niall D Interdepartmental Division of Critical Care Medicine, Departments of Medicine and Physiology, Institute for Health Policy, Management, and Evaluation, University of Toronto Research Institute, Toronto, Canada Division of Respirology, Department of Medicine, University Health Network and Sinai Health System, Toronto General Hospital, Toronto, Canada
PubMed
29450594
DOI
10.1007/s00134-018-5064-5
PII: 10.1007/s00134-018-5064-5
Knihovny.cz E-zdroje
Extracorporeal membrane oxygenation (ECMO) has been used increasingly for both respiratory and cardiac failure in adult patients. Indications for ECMO use in cardiac failure include severe refractory cardiogenic shock, refractory ventricular arrhythmia, active cardiopulmonary resuscitation for cardiac arrest, and acute or decompensated right heart failure. Evidence is emerging to guide the use of this therapy for some of these indications, but there remains a need for additional evidence to guide best practices. As a result, the use of ECMO may vary widely across centers. The purpose of this document is to highlight key aspects of care delivery, with the goal of codifying the current use of this rapidly growing technology. A major challenge in this field is the need to emergently deploy ECMO for cardiac failure, often with limited time to assess the appropriateness of patients for the intervention. For this reason, we advocate for a multidisciplinary team of experts to guide institutional use of this therapy and the care of patients receiving it. Rigorous patient selection and careful attention to potential complications are key factors in optimizing patient outcomes. Seamless patient transport and clearly defined pathways for transition of care to centers capable of providing heart replacement therapies (e.g., durable ventricular assist device or heart transplantation) are essential to providing the highest level of care for those patients stabilized by ECMO but unable to be weaned from the device. Ultimately, concentration of the most complex care at high-volume centers with advanced cardiac capabilities may be a way to significantly improve the care of this patient population.
- Klíčová slova
- Cardiac arrest, Cardiac failure, Critical care networks, Extracorporeal life support, Extracorporeal membrane oxygenation, Hospital organization, Mechanical circulatory support, Position article,
- MeSH
- dospělí MeSH
- kardiogenní šok * MeSH
- lidé MeSH
- mimotělní membránová oxygenace * MeSH
- podpůrné srdeční systémy MeSH
- srdeční selhání * terapie MeSH
- transplantace srdce MeSH
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- dospělí MeSH
- lidé MeSH
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- časopisecké články MeSH
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