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ECMO, chirurgie thoracique et gref e pulmonaire

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ECLS et ECMO

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Abstract

La diminution du débit de ventilation et de la pression des voies aériennes au cours des CEC d’assistance respiratoire avec épuration de CO2 diminue les contraintes mécaniques imposées au poumon et au cœur, tout en garantissant un pH normal, une PaCO2 normale et une amélioration de l’oxygénation. Des améliorations considérables ont été apportées à cette technique depuis les premiers essais réalisés chez l’adulte dans les années 1970:

  • abords VV plutôt que VA

  • canulation percutanée plutôt que chirurgicale

  • pompe non occlusive

  • circuits pré-héparinés

  • optimisation des réglages du respirateur sous ECMO.

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Authors and Affiliations

  1. Service de chirurgie thoracique Nouvel hôpital civil, Hôpitaux universitaires de Strasbourg, 1, place de l’Hôpital, BP 426, 67091, Strasbourg Cedex

    P. -E. Falcoz, N. Santelmo & G. Massard

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  1. P. -E. Falcoz
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  3. G. Massard
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Falcoz, P.E., Santelmo, N., Massard, G. (2010). ECMO, chirurgie thoracique et gref e pulmonaire. In: ECLS et ECMO. Springer, Paris. https://doi.org/10.1007/978-2-287-99773-0_13

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  • DOI: https://doi.org/10.1007/978-2-287-99773-0_13

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-287-99772-3

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