2019, Número 2
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Rev Latin Infect Pediatr 2019; 32 (2)
Farmacocinética de los antimicrobianos en la oxigenación por membrana extracorpórea (ECMO)
Mendoza FO, Castillo BJI, Salinas SJL, Saltigeral SP
Idioma: Español
Referencias bibliográficas: 53
Paginas: 69-77
Archivo PDF: 209.04 Kb.
FRAGMENTO
La terapia extracorpórea es el término general que se utiliza en referencia al apoyo mecánico temporal tras falla cardiaca o pulmonar. Cuando se usa en la Unidad de Cuidados Intensivos o en el Departamento de Urgencias para aumentar la oxigenación, ventilación o función cardiaca, se refiere como oxigenación por membrana extracorpórea (ECMO), la cual ha sido por más de 30 años la última esperanza para pacientes con falla cardiaca o respiratoria. De 2006 a la fecha ha aumentado su uso 400%.
Fue desarrollada en 1954 por el cirujano John Gibbon en búsqueda del tratamiento del embolismo pulmonar masivo; sin embargo, no fue hasta 1976 cuando Barlett et al. consiguieron el primer tratamiento exitoso en un adulto con síndrome de insuficiencia respiratoria aguda
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