Emergency use of extracorporeal membrane oxygenation in cardiopulmonary failure.

摘要: Severe pulmonary and cardiopulmonary failure resistant to critical care treatment leads hypoxemia hypoxia-dependent organ failure. New options for are necessary even patients in outlying medical facilities. If these need of specialized center treatment, additional emergency service has be carried out quick safely. We describe our experiences with a pumpless extracorporeal lung assist (PECLA/iLA) out-of-center hypercapnic respiratory the use newly developed hand-held membrane oxygenation (ECMO) system cardiac, pulmonary, (EMERGENCY-LIFE Support System, ELS MAQUET Cardiopulmonary AG, Hechingen, Germany). Between March 2000 April 2009, we used PECLA System (n = 20) 33) adult patients. Cannulation was employed using percutaneous vessel access. The new consists centrifugal pump oxygenator, both mounted on special holder storing standard patient gurney air or ground ambulance transfer. Bedside cannulation processes were uneventful. resulted sufficient CO(2) removal. In all ECMO patients, oxygen delivery systemic blood flow could restored vasopressor support markedly down. Hospital survival rate group 50%, 61% group. Out-of-center gas exchange this device is safe highlyeffective. Patient outcome improved.