170613 Awake ECMO - jikeimasuika.jp

1 Awake ECMO.. 2017/6/13. Awake ECMO.. ARDS . ECMO . ICU .. Alabama newscenter . Clinical Questions . V-V ECMO . V-V ECMO . Clinical Questions . V-V ECMO . V-V ECMO . Transpulmonary Pressure( ). Ptp Palv Ppl . 2014 2 25 ICU .. 28 .. CCM. 2013; 41:536 45 .. TV 5-7mL/Kg plateau pressure :30cmH2O .. SB .. P.. CCM. 2008; 36:1277 83.. 8 12 .. 1 . RR . 13 RR120VT10ml/kg . RR80VT12ml/kg RR160VT8ml/kg . RR160VT10ml/kg . 2 . RR120/VT10ml/kg RR80/VT12ml/kg VILI. RR120VT10 RR160VT10 . RR80VT12 RR160VT8.. RR160/VT 8ml/kg RR160VT10ml/kg.

2 RR120VT10 RR160VT10 .. low tidal volume . or low rate better .. Clinical Questions . V-V ECMO . V-V ECMO . Pmus =V E +.V R.. Pvent . Pmus vv-ECMO . CO2 .. FIO2 PEEP 5 .. Goal PaO2 >80 on FIO2 of and FDO2 Goal pH > with minute ventilation <10 L/min while receiving a sweep gas flow <6 L/min . PEEP .. 1) . 2) . 3) . 4) .. 5) . HFNC . PEEP NPPV . 6) . 7) . 8) .. 9) .. 10) X . Clinical Questions . V-V ECMO . V-V ECMO . Design: . Setting: MICU. Patients: 2009 4 MICU ECMO . 100 35 . ECMO . out come . bridge to recovery BTR.

3 Bridge to transplantation BTT . SPO285% desaturasion .. BTT . ECMO . ECMO . BTT ECMO .. ECMO BTR BTT . Mobilization scale ECMO . Statistical analysis .. Microsoft Excel .. ECMO .. ECMO .. 3 .. ECMO.. Baseline demographics ECMO 100 26 BTT ECMO 74 . BTR ECMO 100 35 ECMO .. Result FIO2: 3 3. 29 .. Result 13 ECMO 19 . 3 .. 18 175 IQR 285 . 1ft = Discussion .. ECMO .. BTT ECMO . APACHE II . 58 75 BTR PaO2 FIO2 62. 55 . BTT BTR 1 . BTT ECMO .. Discussion ECMO .. ECMO .. ECMO .. ECMO .. Awake ECMO OT . V-V ECMO.