Extracorporeal Membrane Oxygenation (ECMO)
Extracorporeal Membrane Oxygenation (ECMO)
复制标题
体外膜肺氧合（ECMO）
DOI：
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发表时间：
2020
期刊：
影响因子：
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通讯作者：
Georgia Brown
中科院分区：
文献类型：
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作者：
W. Butt;Shannon Buckvold;Georgia Brown
§有ECMO呼吸适应症的患者前往MICU o当时Amy几乎不知道如何为这些患者提供护理§ 40岁，患有流感，所有其他治疗均失败o接受ECMO o需要50 mg/hr氢吗啡酮IV输注和60 mg/hr咪达唑仑IV输注以达到-5的RASS §目前关于成人ECMO患者的研究很少，但无论如何研究，以了解为什么他的镇静需求如此之高§了解到药物可能是由于ECMO电路被隔离。他的体外膜肺氧合支持已经停止，插管后，他在之前相当清醒后陷入昏迷§意识到需要大幅减少镇静剂量o患者最终表现良好，和艾米在一起
§ Patients with a respiratory indication for ECMO went to the MICU o At the time Amy had little idea how to provide care for these patients § 40-year-old presented with influenza and failed all other therapies o Placed on ECMO o Needed 50 mg/hr hydromorphone IV infusion and 60 mg/hr midazolam IV infusion to achieve RASS of -5 § Very little published at this time for adult ECMO patients, but researched regardless to understand why his sedation requirements were so high § Learned that medications were likely being sequestered due to the ECMO circuit o As he got better, his ECMO support was weaned and after de-cannulation he went into a coma after previously being fairly awake § Realized that the sedation doses needed to be reduced drastically o The patient ended up doing well and that stayed with Amy
影响因子：
6
作者：
Mascio, Christopher E.;Austin, Erle H., III;Jacobs, Jeffrey P.;Jacobs, Marshall L.;Wallace, Amelia S.;He, Xia;Pasquali, Sara K.
通讯作者：
Pasquali, Sara K.
影响因子：
2.4
作者：
Gander, Jeffrey W.;Fisher, Jason C.;Reichstein, Ari R.;Gross, Erica R.;Aspelund, Gudrun;Middlesworth, William;Stolar, Charles J.
通讯作者：
Stolar, Charles J.