Preparing for the Most Critically Ill Patients With COVID-19 The Potential Role of Extracorporeal Membrane Oxygenation

被引：249

作者：

MacLaren, Graeme ^{[1
]}

Fisher, Dale ^{[2
,3
]}

Brodie, Daniel ^{[4
,5
]}

机构：

[1] Natl Univ Hlth Syst, Cardiothorac Intens Care Unit, 5 Lower Kent Ridge Rd, Singapore 119074, Singapore

[2] Natl Univ Hlth Syst, Univ Med Cluster, Div Infect Dis, Singapore, Singapore

[3] Natl Univ Singapore, Yong Loo Lin Sch Med, Dept Med, Singapore, Singapore

[4] Columbia Univ Coll Phys & Surg, Div Pulm Allergy & Crit Care Med, New York Presbyterian Hosp, 630 W 168th St, New York, NY 10032 USA

[5] New York Presbyterian Hosp, Ctr Acute Resp Failure, New York, NY USA

来源：

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION | 2020年 / 323卷 / 13期

关键词：

LIFE-SUPPORT;

D O I：

10.1001/jama.2020.2342

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

This Viewpoint discusses the potential role of ECMO (extracorporeal membrane oxygenation) in the management of novel coronavirus disease 2019 (COVID-19) and cautions about the risk of overuse and the shortage of ECMO capability given the numbers of people infected if the technology is not appropriately utilized.

引用

页码：1245 / 1246

页数：2

共 8 条

[1] Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected. Interim guidance [J].

不详 .

PEDIATRIA I MEDYCYNA RODZINNA-PAEDIATRICS AND FAMILY MEDICINE, 2020, 16 (01) :9-26

[2] Association of Hospital-Level Volume of Extracorporeal Membrane Oxygenation Cases and Mortality Analysis of the Extracorporeal Life Support Organization Registry [J].

Barbaro, Ryan P. ;

Odetola, Folafoluwa O. ;

Kidwell, Kelley M. ;

Paden, Matthew L. ;

Bartlett, Robert H. ;

Davis, Matthew M. ;

Annich, Gail M. .

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2015, 191 (08) :894-901

[3] Extracorporeal Life Support for Adults With Respiratory Failure and Related Indications A Review [J].

Brodie, Daniel ;

Slutsky, Arthur S. ;

Combes, Alain .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2019, 322 (06) :557-568

[4] Extracorporeal Membrane Oxygenation for Severe Acute Respiratory Distress Syndrome and Posterior Probability of Mortality Benefit in a Post Hoc Bayesian Analysis of a Randomized Clinical Trial [J].

Goligher, Ewan C. ;

Tomlinson, George ;

Hajage, David ;

Wijeysundera, Duminda N. ;

Fan, Eddy ;

Juni, Peter ;

Brodie, Daniel ;

Slutsky, Arthur S. ;

Combes, Alain .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2018, 320 (21) :2251-2259

[5]

Huang CL, 2020, LANCET, V395, P497, DOI [10.1016/S0140-6736(20)30183-5, 10.1016/S0140-6736(20)30211-7]

[6] Coronavirus Infections-More Than Just the Common Cold [J].

Paules, Catharine I. ;

Marston, Hilary D. ;

Fauci, Anthony S. .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2020, 323 (08) :707-708

[7] Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China [J].

Wang, Dawei ;

Hu, Bo ;

Hu, Chang ;

Zhu, Fangfang ;

Liu, Xing ;

Zhang, Jing ;

Wang, Binbin ;

Xiang, Hui ;

Cheng, Zhenshun ;

Xiong, Yong ;

Zhao, Yan ;

Li, Yirong ;

Wang, Xinghuan ;

Peng, Zhiyong .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2020, 323 (11) :1061-1069

[8] Preparing for the Sickest Patients With 2009 Influenza A(H1N1) [J].

White, Douglas B. ;

Angus, Derek C. .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2009, 302 (17) :1905-1906

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