Extracorporeal Membrane Oxygenation—What the Nephrologist Needs to Know
| Autor: | Kevin C. Thornton, Andres Oswaldo Razo-Vazquez |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Nephrology
medicine.medical_specialty Critical Care medicine.medical_treatment Fluid management 030204 cardiovascular system & hematology law.invention Nephrologists 03 medical and health sciences Extracorporeal Membrane Oxygenation 0302 clinical medicine law Internal medicine medicine Extracorporeal membrane oxygenation Humans In patient 030212 general & internal medicine Renal replacement therapy Intensive care medicine Acid-Base Equilibrium Heart Failure business.industry Acute kidney injury Acute Kidney Injury Water-Electrolyte Balance medicine.disease Intensive care unit Renal Replacement Therapy surgical procedures operative Respiratory failure Respiratory Insufficiency business |
| Zdroj: | Advances in Chronic Kidney Disease. 23:146-151 |
| ISSN: | 1548-5595 |
| Popis: | Extracorporeal membrane oxygenation (ECMO) use in adults is rapidly increasing in its use for both cardiac and respiratory failure. ECMO exists in 2 primary configurations: veno-venous ECMO, used in the setting of isolated respiratory failure, and veno-arterial ECMO, which can be used in respiratory failure but is mandatory in the setting of cardiac failure. Acute kidney injury occurs frequently in patients on ECMO, and renal replacement therapy is often required. Continuous forms of renal replacement therapy predominate, but there is a high degree of variation in clinical practice among ECMO centers internationally. No consensus exists regarding the optimal technique, but the use of continuous renal replacement machines has been shown to be safe and effective in patients on ECMO. An understanding of the basic principles and functionality of ECMO is important for both acid-base and fluid management in the intensive care unit. |
| Databáze: | OpenAIRE |
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