Oxigenaˋˋo extracorp車rea por membrana na hipoxemia grave: hora de revermos nossos conceitos?

作者：Azevedo; Luciano Cesar Pontes; Park; Marcelo; Costa; Eduardo Leite Vieira; Santos; Edzangela Vasconcelos; Hirota; Adriana; Taniguchi; Leandro Utino; Schettino; Guilherme de Paula Pinto; Amato; Marcelo Brito Passos; Carvalho; Carlos Roberto Ribeiro

来源：Jornal Brasileiro de Pneumologia, 2012.

DOI：10.1590/S1806-37132012000100003

• respiratory insufficiency
• intensive care units
• extracorporeal membrane oxygenation.

in 2009, during the influenza a (h1n1) epidemic, there were many reported cases of pulmonary infection with severe hypoxemia that was refractory to the ventilatory strategies and rescue therapies commonly used to treat patients with severe acute respiratory distress syndrome. many of those cases were treated with extracorporeal membrane oxygenation (ecmo), which renewed international interest in the technique. the extracorporeal support study group was created in order to practice ecmo and to employ it in the treatment of patients with severe hypoxemia. in this article, we discuss the indications for using ecmo and report the case of a patient with refractory hypoxemia who was successfully treated with ecmo.