Extracorporeal membrane oxygenation in severe hypoxemia: time for reappraisal?

作者：Pontes Azevedo Luciano Cesar; Park Marcelo^*; Vieira Costa Eduardo Leite; Santos Edzangela Vasconcelos; Hirota Adriana; Taniguchi Leandro Utino; Pinto Schettino Guilherme de Paula; Passos Amato Marcelo Brito; Ribeiro Carvalho Carlos Roberto

来源：Jornal Brasileiro de Pneumologia, 2012, 38(1): 7-12.

• Respiratory Insufficiency
• Intensive Care Units
• Extracorporeal Membrane Oxygenation

in 2009, during the influenza A (H1N1) epidemic, there were many reported cases of pulmonary infection with severe hypoxemia that was refractory to the ventilatory strategies and rescue therapies commonly used to treat patients with severe acute respiratory distress syndrome. Many of those cases were treated with extracorporeal membrane oxygenation (ECMO), which renewed international interest in the technique. The Extracorporeal Support Study Group was created in order to practice ECMO and to employ it in the treatment of patients with severe hypoxemia. In this article, we discuss the indications for using ECMO and report the case of a patient with refractory hypoxemia who was successfully treated with ECMO.

• 出版日期2012-2