静脉‑静脉体外膜肺氧合的撤机:何时启用休息的肺脏

Weaning of veno‑venous extracorporeal membrane oxygenation:when to use the"resting lung"

静脉-静脉体外膜肺氧合(VV-ECMO)的撤机策略主要是基于专家意见,而不是研究证据,所以各中心都有自己的临床标准。VV-ECMO撤离时机的选择并没有得到应有的重视,数据库中很难找到关于VV-ECMO撤离时机选择的研究,涉及VV-ECMO的研究也鲜有详细描述撤离的流程,目前VV-ECMO的撤离流程以专家意见为主。本文对现行的VV-ECMO撤离策略进行分类阐述,呼吁在国内尽快建立统一的VV-ECMO撤离方案,进一步提高体外生命支持患者的预后。

Differences in weaning strategies for veno-venous extracorporeal membrane oxygenation(VV-ECMO)are based on expert opinions rather than clinical evidence.Therefore,each center has its own"unique skills".The timing of VV-ECMO weaning has not received due attention.It is difficult to find research on the choice of VV-ECMO weaning timing in the database.There are few studies involving VV-ECMO that describe the weaning process in detail.At present,the weaning process of VV-ECMO is mainly based on expert opinions.This article classified the current VV-ECMO weaning strategies,appealed to a unified VV-ECMO weaning protocol in China as soon as possible,and further improved the prognosis of patients with extracorporeal life support.