| 제주대학교병원의 중증환자에게 적용된 체외막산화기의 임상 결과 |
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| Clinical results of extra-corporeal membrane oxygenation for critically ill
patients at Jeju National University Hospital |
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Su Wan Kim, Jee Won Chang, Seogjae Lee |
Correspondence:
Seogjae Lee,
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| Abstract |
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Extra-corporeal membrane oxygenation (ECMO) has the potential to rescue patients in cardiac arrest or respiratory failure.
From February 2010 to August 2012, 22 patients in cardiac arrest due to acute myocardial infarction, heart failure, shock state,
or respiratory failure underwent ECMO using the Capiox emergent bypass system, and we retrospectively reviewed the clinical
results. We performed ECMO emergently for 12 patients (54.5 %), and especially six patients among them were during the
cardiopulmonary resuscitation. There were five hemorrhagic complications which might be occurred from heparinization, and
three patients among them could not maintain ECMO. Eight patients of the 15 patients who were undergone a veno-arterial
type ECMO could be weaned from ECMO, and then four patients survived. On the other hand, five patients of the 7 patients
who were undergone a veno-venous type ECMO could be weaned from ECMO, and then two patients survived. The weaning
rate from ECMO was 59 %, which is reasonable and relatively higher than other worldwide reports. However, the survival rate
was 27.3 % that was significantly lower. We suggest that the low survival rate despite the high weaning rate results from
indiscreet selections for ECMO patients, and more cautious indication for ECMO could improve survival rate. |
| Key Words:
Extra-corporeal membrane oxygenation, Resuscitation, Acute respiratory distress syndrome, Cardiac arrest, Heart failure, |
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