呼吸補助・循環補助装置としてのECMOシステム

抄録

Extracorporeal membrane oxygenation (ECMO) is a respiratory or cardiac life support consisting of a vascular access cannula, a blood pump, and an artificial lung that removes carbon dioxide and adds oxygen. Venovenous ECMO is typically used for various forms of critical respiratory failure including severe pneumonia due to the new coronavirus, whereas venoarterial (VA) ECMO sees greater utilization in the patient with heart failure such as cardiac arrest or other clinical states in which cardiac dysfunction is a significant component of illness. The transference of gases occurs due to diffusion across the hollow fiber membranes packed in the module of the oxygenator. Emergence of microporous membrane tremendously enhanced gas diffusion, and currently microporous membrane with a dense layer on the blood-contacting surface is widely used for longer period of usage over weeks. As the usage period for respiratory failure is getting longer, development of more durable ECMO system is required in the future.