Том 22 № 4 (2018)
СПЕЦИАЛЬНАЯ ТЕМА: ДЕТСКАЯ КАРДИОХИРУРГИЯ

Экстракорпоральная поддержка жизни в педиатрии

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  • И. Корнилов
И. Корнилов
ФГБУ «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина» Министерства здравоохранения Российской Федерации, Новосибирск, Российская Федерация
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DOI: https://doi.org/10.21688/1681-3472-2018-4-35-47

Опубликован 29.12.2018

Ключевые слова

  • врожденный порок сердца,
  • кардиохирургия,
  • мембранная оксигенация,
  • острый респираторный дистресс-синдром,
  • трансплантация,
  • экстракорпоральная педиатрия
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Как цитировать

Корнилов, И. (2018). Экстракорпоральная поддержка жизни в педиатрии. Патология кровообращения и кардиохирургия, 22(4), 35–47. https://doi.org/10.21688/1681-3472-2018-4-35-47

Copyright (c) 2018 Корнилов И.А.

Лицензия Creative Commons

Это произведение доступно по лицензии Creative Commons «Attribution» («Атрибуция») 4.0 Всемирная.

Аннотация

Экстракорпоральная поддержка жизни, или экстракорпоральная мембранная оксигенация (ЭКМО), — метод поддержания жизни при критической, потенциально обратимой сердечной и/или легочной недостаточности, рефрактерной к стандартной интенсивной терапии. В последнее десятилетие использование ЭКМО в педиатрической интенсивной терапии растет, в том числе за счет расширения показаний. В данном обзоре описаны основы технологии ЭКМО, клинические ситуации применения ЭКМО в педиатрии и результаты применения ЭКМО в мире. Экстракорпоральная мембранная оксигенация стала стандартом лечения рефрактерной острой сердечной недостаточности, остановки сердца, тяжелого острого респираторного дистресс-синдрома  с уменьшающимся количеством противопоказаний. Несмотря на то что ЭКМО можно использовать для поддержки у все более маленьких и тяжелых пациентов, тщательное рассмотрение факторов риска и вероятных результатов является очень важным для решения о применении и продолжении ЭКМО. Использование и ведение ЭКМО широко варьирует между клиниками. Требуются дальнейшие мультицентровые исследования для оптимизации критериев отбора пациентов, подключения и начала ЭКМО; уменьшения количества осложнений; анализа качества жизни пациентов после ЭКМО и экономических затрат.

Поступила в редакцию 2 декабря 2018 г. Исправлена 14 декабря 2018 г. Принята к печати 14 декабря 2018 г.

Финансирование
Исследование не имело спонсорской поддержки.

Конфликт интересов
Автор заявляет об отсутствии конфликта интересов.

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