[Extracorporeal Lung Support in Thoracic Surgery: Basics and Pathophysiology].

Abstract:

:Extracorporeal lung support (ECLS) is of increasing importance in general thoracic surgery. Different modes of ECLS may be applied in several situations throughout the perioperative phase and are adapted to the individual patient's needs and the planned surgical procedures. ECLS is not a static procedure and should be always evaluated according to the present condition of the patient. Therefore, it is essential to understand the pathophysiology of the disease and the different ECLS modes, as well as the different cannulation options, in order to be able to use the different escalation and de-escalation techniques in accordance with the clinical situation. :Die extrakorporale Lungenunterstützung (ECLS) stellt heutzutage ein gut etabliertes Verfahren in der Thoraxchirurgie dar. In Abhängigkeit von der respiratorischen und hämodynamischen Situation des Patienten wird die ECLS in verschiedenen Modalitäten eingesetzt. Dies erfordert ein ausreichendes Wissen über die verschiedene ECMO-Modalitäten (ECMO: extrakorporale Membranoxygenierung), Kanülierungswege, zur Verfügung stehendes technisches Equipment und über die pathophysiologischen Grundlagen im Zusammenhang mit derartiger Technologie, um das individuell auf die Patientenbedürfnisse angepasste Verfahren zu wählen. Dementsprechend kann die Therapie je nach klinischer Situation im Verlauf eskaliert bzw. deeskaliert werden.

journal_name

Zentralbl Chir

authors

Redwan B,Akil A,Freermann S,Fischer S

doi

10.1055/a-0655-2326

subject

Has Abstract

pub_date

2019-02-01 00:00:00

pages

71-77

issue

1

eissn

0044-409X

issn

1438-9592

journal_volume

144

pub_type

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