Application of ECMO in critically ill patients and its enlightenment for combat casualty care in our army
The treatment and transportation of the sick and wounded with severe cardiopulmonary failure, because of high mortality rate, is always a difficult issue in combat casualty care. Extracorporeal membrane oxygenation (ECMO), as a technique for cardiopulmonary life support, can partially support cardia...
| Main Authors: | , |
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| Format: | Article |
| Language: | zho |
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Editorial Office of Journal of Third Military Medical University
2019-01-01
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| Series: | Di-san junyi daxue xuebao |
| Subjects: | |
| Online Access: | http://aammt.tmmu.edu.cn/Upload/rhtml/201807078.htm |
| _version_ | 1818320937110470656 |
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| author | WU Wei HE Ping |
| author_facet | WU Wei HE Ping |
| author_sort | WU Wei |
| collection | DOAJ |
| description | The treatment and transportation of the sick and wounded with severe cardiopulmonary failure, because of high mortality rate, is always a difficult issue in combat casualty care. Extracorporeal membrane oxygenation (ECMO), as a technique for cardiopulmonary life support, can partially support cardiac and pulmonary functions in those patients. So, ECMO has been maturely applied in the treatment and transportation of these patients in developed countries and their armies. China started late, but developed rapidly in its utilization. The characteristics of ECMO application in treatment and transportation in the foreign countries are as follows: ①ECMO can be used in all the diseases involving respiratory and circulatory failure. ②Because ECMO transport involves the critical illness, many links and far distances, complications commonly occur, even lead to death in some serious cases during the transport. In order to reduce the incidence of the transport complications, professional transport teams have been set up in large centers and armies of developed countries to undertake transport tasks. ③Corresponding to different transport distances, different transport modes are established. In wartime, air transport is often chosen. The above experience has inspired our army in the treatment of severe heart and lung failure. The ideas of enlightenment include: ①The incidence of severe respiratory failure and heart failure has been greatly increased due to the changes of injury factors in modern war and the operational environment, and application of ECMO in the treatment and transport can reduce the morbidity and mortality. ② Combining the characteristics of our military operations, ECMO can provide powerful and stable cardiopulmonary support, quickly relieve the symptoms such as hypoxia and heart failure, and fully ensure the patients' safety on the way back for dying critically ill patients, and those suffering from such as severe high altitude pulmonary edema, sea drowning and/or hypothermia, and inhalation injury. ③ Capable, professional and quick-response ECMO teams for transport and treatment should be set up. ④There is an urgent need to establish ECMO air transport process. |
| first_indexed | 2024-12-13T10:32:56Z |
| format | Article |
| id | doaj.art-c9058fee8ae2421cadfe51a955714faa |
| institution | Directory Open Access Journal |
| issn | 1000-5404 |
| language | zho |
| last_indexed | 2024-12-13T10:32:56Z |
| publishDate | 2019-01-01 |
| publisher | Editorial Office of Journal of Third Military Medical University |
| record_format | Article |
| series | Di-san junyi daxue xuebao |
| spelling | doaj.art-c9058fee8ae2421cadfe51a955714faa2022-12-21T23:50:47ZzhoEditorial Office of Journal of Third Military Medical UniversityDi-san junyi daxue xuebao1000-54042019-01-014111610.16016/j.1000-5404.201807078Application of ECMO in critically ill patients and its enlightenment for combat casualty care in our armyWU Wei0HE Ping1 Department of Thoracic Surgery, First Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400038, ChinaDepartment of Cadiac Surgery, First Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400038, China The treatment and transportation of the sick and wounded with severe cardiopulmonary failure, because of high mortality rate, is always a difficult issue in combat casualty care. Extracorporeal membrane oxygenation (ECMO), as a technique for cardiopulmonary life support, can partially support cardiac and pulmonary functions in those patients. So, ECMO has been maturely applied in the treatment and transportation of these patients in developed countries and their armies. China started late, but developed rapidly in its utilization. The characteristics of ECMO application in treatment and transportation in the foreign countries are as follows: ①ECMO can be used in all the diseases involving respiratory and circulatory failure. ②Because ECMO transport involves the critical illness, many links and far distances, complications commonly occur, even lead to death in some serious cases during the transport. In order to reduce the incidence of the transport complications, professional transport teams have been set up in large centers and armies of developed countries to undertake transport tasks. ③Corresponding to different transport distances, different transport modes are established. In wartime, air transport is often chosen. The above experience has inspired our army in the treatment of severe heart and lung failure. The ideas of enlightenment include: ①The incidence of severe respiratory failure and heart failure has been greatly increased due to the changes of injury factors in modern war and the operational environment, and application of ECMO in the treatment and transport can reduce the morbidity and mortality. ② Combining the characteristics of our military operations, ECMO can provide powerful and stable cardiopulmonary support, quickly relieve the symptoms such as hypoxia and heart failure, and fully ensure the patients' safety on the way back for dying critically ill patients, and those suffering from such as severe high altitude pulmonary edema, sea drowning and/or hypothermia, and inhalation injury. ③ Capable, professional and quick-response ECMO teams for transport and treatment should be set up. ④There is an urgent need to establish ECMO air transport process.http://aammt.tmmu.edu.cn/Upload/rhtml/201807078.htmextracorporeal membrane oxygenationcasualty transportacute cardiopulmonary failurecombat casualty care |
| spellingShingle | WU Wei HE Ping Application of ECMO in critically ill patients and its enlightenment for combat casualty care in our army Di-san junyi daxue xuebao extracorporeal membrane oxygenation casualty transport acute cardiopulmonary failure combat casualty care |
| title | Application of ECMO in critically ill patients and its enlightenment for combat casualty care in our army |
| title_full | Application of ECMO in critically ill patients and its enlightenment for combat casualty care in our army |
| title_fullStr | Application of ECMO in critically ill patients and its enlightenment for combat casualty care in our army |
| title_full_unstemmed | Application of ECMO in critically ill patients and its enlightenment for combat casualty care in our army |
| title_short | Application of ECMO in critically ill patients and its enlightenment for combat casualty care in our army |
| title_sort | application of ecmo in critically ill patients and its enlightenment for combat casualty care in our army |
| topic | extracorporeal membrane oxygenation casualty transport acute cardiopulmonary failure combat casualty care |
| url | http://aammt.tmmu.edu.cn/Upload/rhtml/201807078.htm |
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