ʻO ka oxygenation membrane extracorporeal

ʻO ka oxygenation membrane Extracorporeal (ECMO) kahi lapaʻau e hoʻohana i ka pauma e kahe i ke koko ma o ka pulupulu hana i hoʻi i loko o ke kahe o ke pēpē maʻi loa. Hāʻawi kēia ʻōnaehana i ke kākoʻo bypass lung-puʻuwai ma waho o ke kino o ka pēpē. Kōkua paha ia i ke kākoʻo ʻana i kahi keiki e kali nei i ka puʻuwai a i ʻole transplant lung.

No ke aha e hoʻohana ʻia ai ka ECMO?

Hoʻohana ʻia ʻo ECMO i nā pēpē e maʻi ana ma muli o ka hanu a me nā pilikia puʻuwai. ʻO ke kumu o ECMO e hāʻawi i ka oxygen lawa i ka pēpē ʻoiai e ʻae ana i ka manawa no nā māmā a me ka puʻuwai e hoʻomaha a hoʻōla paha.

ʻO nā kūlana maʻamau e koi ai iā ECMO:

• Hernia diaphragmatic hernia (CDH)
• Nā kīnā hānau o ka puʻuwai
• Meconium aspiration syndrome (MAS)
• Pneumonia koʻikoʻi
• Nā pilikia kulu ʻino nui
• ʻO ke kiʻekiʻe o ke koko kiʻekiʻe i nā aʻa o nā akemāmā (PPHN)

Hiki ke hoʻohana ʻia i ka wā hoʻōla ma hope o ke kīpē puʻuwai.

Pehea e kau ai kahi pēpē ma ECMO?

Pono ka hoʻomaka ʻana o ka ECMO i kahi hui nui o nā kahu e hoʻokūpaʻa i ka pēpē, a me ka hoʻonohonoho pono ʻana a me ka priming o ka pauma ECMO me ka wai a me ke koko. Hana ʻia ka ʻoki lāʻau e hoʻopili i ka pauma ECMO i ka pēpē ma o nā catheters i hoʻonoho ʻia i loko o nā kīʻaha koko nui i ka ʻāʻī o ka pēpē a i ʻole ke ʻūlū.

He aha nā pilikia o ECMO?

Ma muli o ka maʻi nui o nā pēpē i manaʻo ʻia no ECMO, pilikia nui lākou no nā pilikia lōʻihi, e like me ka make. Ke kau ʻia ka pēpē ma ECMO, hoʻopili ʻia nā pilikia hou aʻe:

• Kahena
• Hoʻomaʻamaʻa koko
• Maʻi kīnā
• Nā pilikia transfusion

Kākaʻikahi loa, hiki i ka pauma ke loaʻa nā pilikia mechanical (haki ka paipu, kū nā pauma), hiki ke hōʻeha i ka pēpē.

Eia nō naʻe, make paha ka hapa nui o nā pēpē e pono ai iā ECMO inā ʻaʻole ia e hoʻohana ʻia.

ECMO; Holo ka puʻuwai puʻuwai - pēpē; Bypass - pēpē; Hypoxia neonatal - ECMO; PPHN - ECMO; ʻIʻini Meconium - ECMO; MAS - ECMO

• ECMO

Ahlfeld SK. Nā maʻi maʻi hanu. I: Kliegman RM, St. Geme JW, Schor NF, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 122.

ʻO Patroniti N, Grasselli G, ʻo Pesenti A. Kākoʻo Extracorporeal o ka hoʻololi kinoea. I: Broaddus VC, Mason RJ, Ernst JD, et al, eds. ʻO Murray a me Nadel's Textbook of Respiratory Medicine. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2016: chap 103.

Pōkō EK. Therapy no ka pono ʻole cardiorespiratory i ka neonate. I: Martin RJ, Fanaroff AA, Walsh MC, hua. ʻO Fanaroff lāua ʻo Martin's Neonatal-Perinatal Medicine. 11th hua. Piladelapia, PA; Elsevier; 2020: chap 70.