文章基本信息

标题：Extracorporeal membrane oxygenation combined with continuous renal replacement therapy for the treatment of severe burns: current status and challenges
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作者：Huapei Song ; Zhiqiang Yuan ; Yizhi Peng 等
期刊名称：Burns & Trauma
印刷版ISSN：2321-3876
出版年度：2021
卷号：9
DOI：10.1093/burnst/tkab017
语种：English
出版社：BioMed Central
摘要：Abstract Severe burns often cause various systemic complications and multiple organ dysfunction syndrome, which is the main cause of death. The lungs and kidneys are vulnerable organs in patients with multiple organ dysfunction syndrome after burns. Extracorporeal membrane oxygenation (ECMO) and continuous renal replacement therapy (CRRT) have been gradually applied in clinical practice and are beneficial for severe burn patients with refractory respiratory failure or renal dysfunction. However, the literature on ECMO combined with CRRT for the treatment of severe burns is limited. Here, we focus on the current status of ECMO combined with CRRT for the treatment of severe burns and the associated challenges, including the timing of treatment, nutrition support, heparinization and wound management, catheter-related infection and drug dosing in CRRT. With the advancement of medical technology, ECMO combined with CRRT will be further optimized to improve the outcomes of patients with severe burns.
关键词：Severe burns; Extracorporeal membrane oxygenation; Continuous renal replacement therapy; Multiple organ dysfunction syndrome; Acute kidney injury; Acute respiratory distress syndrome