【体外膜肺ECMO精品课件】 Technical and biological advances in ECMO.pptVIP

Technical and biological advances in ECMO ;ECMO is the use of a modified extracorporeal circuit to provide temporary mechanical support (respiratory and/or cardiac) to patients failing conventional intensive therapy. ECMO has brought the technology of cardiopulmonary bypass to bedside under the management of ECMO specialists and intensive care physicians.; History;Dr Mrs Gibbon with their CPB machine; History; History;1917 – J Mac Lean discovered Heparin (which was introduced in clinical practise in 1938). 1930 – JH Gibbon - First extracorporeal circulation system. 1950 – Early Developements of CPB. 1956 – GHA Clowes Jr. – Plastic Membrane Oxygenator. 1957 – K Kammermeyer – Use of thin Silicone Membranes. Early ’60s – T Kolobow designed his “Membrane Lung”. 1972 – JD Hill reported first successful case of prolonged extracorporeal support in humans: Adult ECMO 1975 – RH Bartlett - First Successful Neonatal ECMO 1986 – L Gattinoni - 50% Survival in Adult ECCO2R 1989 – ELSO Registry ;1917 – J Mac Lean discovered Heparin (which was introduced in clinical practise in 1938). 1930 – JH Gibbon - First extracorporeal circulation system. 1950 – Early Developements of CPB. 1956 – GHA Clowes Jr. – Plastic Membrane Oxygenator. 1957 – K Kammermeyer – Use of thin Silicone Membranes. Early ’60s – T Kolobow designed his “Membrane Lung”. 1972 – JD Hill reported first successful case of prolonged extracorporeal support in humans: Adult ECMO 1975 – RH Bartlett - First Successful Neonatal ECMO 1986 – L Gattinoni - 50% Survival in Adult ECCO2R 1989 – ELSO Registry ;ECMO main technical advances are in 4 areas;ECMO main technical advances are in 4 areas;ECMO main technical advances are in 4 areas;ECMO main technical advances are in 4 areas;Thank you for your attention