extracorporeal membrane oxygenation

出典: meddic

膜型人工肺

ECMO
ECMO
ECMO

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出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2014/05/25 16:41:33」(JST)

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英文文献

  • Extracorporeal membrane oxygenation in diffuse alveolar hemorrhage secondary to systemic lupus erythematosus.
  • Claudio CP1, Charbonney E2, Durand M3, Kolan C3, Laskine M3.Author information 1Centre Hospitalier de l'Universite de Montreal, Montreal, Canada.2Hopital de Trois-Rivieres and Hopital du Sacre-Coeur de Montreal, Montreal, Canada.3Department of Medicine, Hopital Hotel-Dieu, CRCHUM, Montreal, Canada.AbstractDiffuse alveolar hemorrhage (DAH) is a rare and potentially deadly complication of systemic lupus erythematosus (SLE). We report two adult cases where extracorporeal membrane oxygenation (ECMO) was used as rescue therapy for severe respiratory failure in this setting. We discuss the risk related to coagulation disturbance and the need for the circuit anticoagulation in this particular setting. We also briefly discuss the clinical problem of lack of knowledge on the bioavailability of the immunosuppressive treatment with the use of ECMO. We think that ECMO should be used as rescue therapy in patients with DAH caused by SLE, but strategies for anticoagulation require further precision.
  • Journal of clinical medicine research.J Clin Med Res.2014 Apr;6(2):145-8. doi: 10.14740/jocmr1685w. Epub 2014 Feb 6.
  • Diffuse alveolar hemorrhage (DAH) is a rare and potentially deadly complication of systemic lupus erythematosus (SLE). We report two adult cases where extracorporeal membrane oxygenation (ECMO) was used as rescue therapy for severe respiratory failure in this setting. We discuss the risk related to
  • PMID 24578757
  • [Awake ECMO therapy in airway stenosis : Bronchoscopic treatment using laser resection.]
  • Duru JA1, Menges T, Bodner J, Degen ME, Greifenberg D, Gehron J, Weigand MA, Henrich M.Author information 1Klinik für Anästhesiologie, Operative Intensivmedizin und Schmerztherapie, Justus-Liebig-Universität, Universitätsklinikum Gießen und Marburg, Standort Gießen, Rudolf-Buchheim-Str. 7, 35392, Gießen, Deutschland.AbstractThis article presents the case of a 62-year-old patient with cancer in the left upper pulmonary lobe who underwent lobe resection with postoperative respiratory insufficiency. The right upper lobe had already been resected 5 years earlier because of an adenocarcinoma. Prior to the present surgery a computed tomography scan detected a narrow stenosis at the former resection site; however, both pulmonary lobes beyond this stenosis appeared to be sufficiently ventilated. After resection of the left upper lobe attempted extubation was unsuccessful due to insufficient global gas exchange as the stenosis prevented ventilation of the right lung. Bronchoscopy provided evidence of a normal diameter of the bronchus behind the stenosis so both lobes were to be recruited after possible correction of this section. A veno-venous extracorporeal membrane oxygenation device (ECMO) was established as bridging therapy to attain normal gas exchange. As the patient showed no muscle weakness and was cooperative, extubation was performed and spontaneous breathing occurred without any support while still under ECMO treatment. The stenosis was reduced by bronchoscopic laser resection within seven consecutive sessions. Each of these surgeries was conducted with the patient under general anesthesia with oral intubation and jet ventilation in combination with the ECMO. The patient was extubated after each treatment session and weaned from ECMO after the final resection within 2 days. This case demonstrates the use of ECMO in combination with surgical procedures in a spontaneously breathing patient as a causal therapy and option for selected patients to prevent complications from long-term ventilation.
  • Der Anaesthesist.Anaesthesist.2014 Mar 2. [Epub ahead of print]
  • This article presents the case of a 62-year-old patient with cancer in the left upper pulmonary lobe who underwent lobe resection with postoperative respiratory insufficiency. The right upper lobe had already been resected 5 years earlier because of an adenocarcinoma. Prior to the present surgery a
  • PMID 24577183
  • End-organ recovery is key to success for extracorporeal membrane oxygenation as a bridge to implantable left ventricular assist device.
  • Durinka JB1, Bogar LJ, Hirose H, Brehm C, Koerner MM, Pae WE, El-Banayosy A, Stephenson ER, Cavarocchi NC.Author information 1From the *Division of Cardiothoracic Surgery, Department of Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania; †Division of Cardiothoracic Surgery, Department of Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania. Currently, Division of Cardiothoracic Surgery, Inova Health System, Falls Church, Virginia; and ‡Heart and Vascular Institute, Penn State Hershey Medical Center, Hershey, Pennsylvania.AbstractPreexisting organ dysfunctions are known factors of death after placement of implantable mechanical circulatory support (MCS). Extracorporeal membrane oxygenation (ECMO) may able to stabilize organ function in patients with cardiogenic shock before MCS implantation. Between 2008 and 2012, 17 patients with cardiogenic shock were supported with ECMO before implantable MCS placement. Patient's end-organ functions were assessed by metabolic, cardiac, hepatic, renal, and respiratory parameters. Survival data after MCS implantations were analyzed for overall survival to discharge, complications, and breakpoint in days on ECMO to survival. Before MCS implantation, lactate, hepatic, and renal functions were improved and pulmonary edema was resolved. The interval between ECMO initiation and MCS placement was 12.1 ± 7.9 days. Overall survival rate to discharge after left ventricular assist device/total artificial heart placement was 76%. The survival of patients transitioned from ECMO to MCS within 14 days was 92% and was significantly better than the survival of patients from ECMO to MCS supported longer than 14 days, 25%, p < 0.05. ECMO support can immediately stabilize organ dysfunction in patients with cardiogenic shock. After improvement of organ function, MCS implantation should be done without delay, since the patients supported for longer than 14 days with ECMO had inferior survival compared to national data.
  • ASAIO journal (American Society for Artificial Internal Organs : 1992).ASAIO J.2014 Mar-Apr;60(2):189-92. doi: 10.1097/MAT.0000000000000043.
  • Preexisting organ dysfunctions are known factors of death after placement of implantable mechanical circulatory support (MCS). Extracorporeal membrane oxygenation (ECMO) may able to stabilize organ function in patients with cardiogenic shock before MCS implantation. Between 2008 and 2012, 17 patient
  • PMID 24399062

和文文献

  • 甲状腺癌による高度気管狭窄患者の気道管理 : V-V ECMOとHFJV併用の有用性
  • 山口 恭子,藤本 啓子,小出 康弘 [他]
  • 麻酔 62(1), 78-82, 2013-01-00
  • NAID 40019551998
  • 大腸癌気管転移による多発性気道狭窄に対し喉頭動脈塞栓術後に高周波スネア治療を施行し窒息を回避しえた1例
  • 岩本 信一,神田 響,須谷 顕尚,久良木 隆繁,礒部 威
  • 気管支学 : 日本気管支研究会雑誌 34(6), 604-610, 2012-11-25
  • 背景.大腸癌の気管支内転移は予後が悪く, 2年以内の生命予後であるとされている.症例.症例は44歳女性. S状結腸癌術後6年目に血痰,喘鳴,呼吸困難を主訴に受診し,全身CTで気管内に多数の腫瘍を認め,気管内転移と診断された.出血リスクの軽減と腫瘍縮小効果を期待し,内視鏡治療前日に喉頭動脈塞栓術を行った.気管狭窄を伴ったハイリスク症例のため膜型人工肺を併用し,ラリンジアルマスクで気道確保して,高周波 …
  • NAID 110009562569

関連リンク

Wikipedia(ウィキペディア)記事検索 > [ Extracorporeal membrane oxygenation ] の検索結果
In intensive care medicine, extracorporeal membrane oxygenation (ECMO) or extracorporeal life support (ECLS) is an extracorporeal technique of providing both cardiac and respiratory support to patients whose heart and lungs are ...

関連画像

Extracorporeal membrane oxygenation ECMO: Extracorporeal Membrane Oxygenation.Extracorporeal membrane oxygenationECMO: Extracorporeal Membrane Oxygenation. Extracorporeal Membrane OxygenationExtracorporeal membrane oxygenation (ECMO)


★リンクテーブル★
リンク元胸腹裂孔ヘルニア」「膜型人工肺」「ECMO」「膜型人工肺体外循環
関連記事membrane」「oxygenation」「extracorporeal

胸腹裂孔ヘルニア」

  [★]

pleuroperitoneal diaphragmatic hernia
胸腹膜裂孔ヘルニアボホダレック孔ヘルニア Bochdalek孔ヘルニア Bochdalek herniaボホダレクヘルニアBochdalekヘルニア
先天性横隔膜ヘルニア横隔膜ヘルニア横隔膜
腰肋三角ヘルニア


概念

  • 胸腹裂孔の閉鎖障害により、ヘルニア門を通じて、腸管、脾臓、肝臓が胸腔に脱出する。左に多く(右2:左8)、ヘルニア嚢を欠く。
  • 患側肺、時に両側肺の低形成を伴う。
  • 治療成績は悪い
  • 成人に至ってから発症するものもある(遅発型胸膜裂孔ヘルニア)

疫学

  • 1/2000 (L.197)

病因

病変形成&病理

症状

  • 主訴:呼吸困難、チアノーゼ
  • 呼吸循環障害

合併奇形

診断

検査

治療

  • 早期手術、ECMO(extracorporeal membrane oxygenation)
  • 手術によりPFCを悪化させなくなる数日間待つ

予後

  • 出生後24時間以内に緊急手術が必要な症例では予後不良
  • 生後24時間以降にまで手術を待機できるような症例は予後良好。

予防

膜型人工肺」

  [★]

extracorporeal
extracorporeal membrane oxygenator extracorporeal membrane oxygenation ECMO
体外膜型肺体外式肺補助
人工肺


ECMO」

  [★] 膜型人工肺

ECMO
Extracorporeal membrane oxygenation
extracorporeal membrane oxygenation


膜型人工肺体外循環」

  [★]

extracorporeal membrane oxygenation, ECMO

membrane」

  [★]

  • n.

WordNet   license wordnet

「a thin pliable sheet of material」

WordNet   license wordnet

「a pliable sheet of tissue that covers or lines or connects the organs or cells of animals or plants」
tissue layer

PrepTutorEJDIC   license prepejdic

「(生物の)膜,皮膜」


oxygenation」

  [★]

  • n.
oxygenateoxygenated

WordNet   license wordnet

「the process of providing or combining or treating with oxygen; "the oxygenation of the blood"」

PrepTutorEJDIC   license prepejdic

「酸素で処理すること」

extracorporeal」

  [★]

corporeal
  • adj
  • 体外の




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