Extra corporeal membrane oxygenation support: ethical dilemmas
نویسندگان
چکیده
منابع مشابه
Extra Corporeal Membrane Oxygenation (ECMO) review of a lifesaving technology.
Extra Corporeal Membrane Oxygenation (ECMO) indications and usage has strikingly progressed over the last 20 years; it has become essential tool in the care of adults and children with severe cardiac and pulmonary dysfunction refractory to conventional management. In this article we will provide a review of ECMO development, clinical indications, patients' management, options and cannulations t...
متن کاملExtra-corporeal membrane oxygenation for paediatric respiratory failure.
Extracorporeal membrane oxygenation (ECMO) uses modified cardiopulmonary bypass technology to provide prolonged respiratory or cardiorespiratory support for patients of all ages who have failed conventional intensive care management. The use of ECMO for neonatal respiratory failure is now evidence-based following the publication of the randomised UK Collaborative Trial. ECMO use in children rem...
متن کاملExtra-corporeal membrane oxygenation temporary support for early graft failure after cardiac transplantation.
OBJECTIVE Early graft failure (EGF) is a major risk for death after heart transplantation. We studied the impact of an extra-corporeal membrane oxygenation (ECMO) temporary support on the operative mortality and the mean-term survival after EGF. MATERIALS AND METHODS Between January 2000 and December 2006, 394 patients underwent orthotopic heart transplantation at our institution. EGF was obs...
متن کاملExtracorporeal membrane oxygenation clinical dilemmas.
Three scenarios are presented, based on real patients, illustrating various clinical dilemmas involving critical illness and extracorporeal membrane oxygenation (ECMO). The scenarios are outlined in the form of questions and answers. In most cases there is no single correct answer to the dilemmas presented. The pros and cons of particular interventions are discussed along with the actual treatm...
متن کاملPredictive risk factors for primary graft failure requiring temporary extra-corporeal membrane oxygenation support after cardiac transplantation in adults.
OBJECTIVE Primary graft failure (PGF) is a major risk factor for death after heart transplantation. We investigated the predictive risk factors for severe PGF that require extra-corporeal membrane oxygenation (ECMO) circulatory support after cardiac transplantation. METHODS Between January 2003 and December 2008, 402 adult patients underwent isolated cardiac transplantation at our institution...
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ژورنال
عنوان ژورنال: Annals of Translational Medicine
سال: 2017
ISSN: 2305-5839,2305-5847
DOI: 10.21037/atm.2017.01.38