{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,10]],"date-time":"2024-05-10T05:15:06Z","timestamp":1715318106047},"reference-count":25,"publisher":"Akademiai Kiado Zrt.","issue":"11","license":[{"start":{"date-parts":[[2021,3,14]],"date-time":"2021-03-14T00:00:00Z","timestamp":1615680000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2021,3,14]]},"abstract":"<jats:p><jats:bold>\u00d6sszefoglal\u00f3.<\/jats:bold> Az extracorporalis membr\u00e1noxigeniz\u00e1ci\u00f3t egyre\n                    gyakrabban alkalmazz\u00e1k vil\u00e1gszerte refrakter l\u00e9gz\u00e9si \u00e9s\/vagy kering\u00e9si\n                    el\u00e9gtelens\u00e9g kezel\u00e9s\u00e9ben. Int\u00e9zet\u00fcnkben 2015-ben kezdt\u00fck meg a program\n                    el\u0151k\u00e9sz\u00edt\u00e9s\u00e9t \u00e9s fel\u00e9p\u00edt\u00e9s\u00e9t. C\u00e9lunk az extracorporalis membr\u00e1noxigeniz\u00e1ci\u00f3s\n                    kezel\u00e9s \u00e9lettani alapjainak r\u00f6vid ismertet\u00e9se, k\u00fcl\u00f6n\u00f6s tekintettel a venovenosus\n                    konfigur\u00e1ci\u00f3ra, \u00e9s az eddig kezelt eseteink eredm\u00e9nyeinek \u00f6sszefoglal\u00e1sa. Az\n                    irodalom szisztematikus \u00e1ttekint\u00e9se \u00e9s a kezelt esetek adatainak retrospekt\u00edv\n                    \u00e9rt\u00e9kel\u00e9se voltak a m\u00f3dszereink. 2016 \u00f3ta \u00f6sszesen 14 beteg eset\u00e9ben haszn\u00e1ltunk\n                    extracorporalis membr\u00e1noxigeniz\u00e1ci\u00f3t (8 f\u00e9rfi, 6 n\u0151, \u00e9letkor 51 \u00b1 15 \u00e9v, APACHE\n                    II. score 24 \u00b1 7). Az indik\u00e1ci\u00f3 9 esetben s\u00falyos refrakter hypoxaemi\u00e1s l\u00e9gz\u00e9si\n                    el\u00e9gtelens\u00e9g, 1 esetben tracheooesophagealis fistula \u00e9s l\u00e9gz\u00e9si el\u00e9gtelens\u00e9g, 1\n                    esetben m\u0171t\u00e9t alatti t\u00e1mogat\u00e1s tervezett trachearekonstrukci\u00f3 sor\u00e1n \u00e9s 3 beteg\n                    eset\u00e9ben refrakter cardiogen shock volt. Az extracorporalis membr\u00e1noxigeniz\u00e1ci\u00f3\n                    11 betegben a l\u00e9gz\u00e9s, 3 betegben a kering\u00e9s t\u00e1mogat\u00e1s\u00e1t szolg\u00e1lta, 13\n                    venovenosus, 1 venoarteriosus konfigur\u00e1ci\u00f3ban. Az extracorporalis t\u00e1mogat\u00e1s\n                    ideje l\u00e9gz\u00e9st\u00e1mogat\u00e1s eset\u00e9ben 14 \u00b1 6 nap, a cardialis t\u00e1mogat\u00e1sok eset\u00e9ben 5 \u00b1\n                    4 nap volt. Az intenz\u00edv oszt\u00e1lyos \u00e1pol\u00e1si id\u0151 27 \u00b1 13, illetve 21 \u00b1 17 nap volt\n                    a k\u00e9t betegcsoportban. 9 beteget j\u00f3 funkcion\u00e1lis \u00e1llapotban bocs\u00e1tottunk el, 5\n                    beteg halt meg oszt\u00e1lyunkon, tov\u00e1bbi 3 k\u00e9s\u0151bb a k\u00f3rh\u00e1zi bennfekv\u00e9s sor\u00e1n. Az\n                    extracorporalis membr\u00e1noxigeniz\u00e1ci\u00f3s program region\u00e1lis centrumokban\n                    Magyarorsz\u00e1gon is megval\u00f3s\u00edthat\u00f3. A nemzetk\u00f6zi aj\u00e1nl\u00e1sok, oktat\u00e1si m\u00f3dszerek\n                    alkalmaz\u00e1s\u00e1val a nemzetk\u00f6zi irodalomban k\u00f6z\u00f6lt t\u00fal\u00e9l\u00e9si eredm\u00e9nyekhez hasonl\u00f3\n                    eredm\u00e9nyek \u00e9rhet\u0151k el haz\u00e1nkban is. Orv Hetil. 2021; 162(11): 425\u2013431.<\/jats:p>\n                <jats:p><jats:bold>Summary.<\/jats:bold> Extracorporeal membrane oxygenisation is commonly used\n                    worldwide for refractory respiratory and circulatory failure. We started to\n                    organise the introduction of this therapeutic modality in 2015. Our aim is to\n                    give a short review about extracorporeal life support, especially veno-venous\n                    extracorporeal membrane oxygenation, and to present our first results. We\n                    provide a systematic review of the currently available literature and a summary\n                    of our first treatments. As of 2016, we supported 14 patients with\n                    extracorporeal membrane oxygenisation (8 men, age 51 \u00b1 15 years, APACHE II score\n                    24 \u00b1 7). The indications were refractory hypoxaemic respiratory failure in 9,\n                    tracheo-oesophageal fistula and respiratory failure in 1, support during surgery\n                    for planned tracheal reconstruction in 1, and refractory cardiogenic shock in 3\n                    patients. We provided respiratory support in 11, circulatory support in 3 cases,\n                    with 13 veno-venous and 1 veno-arterial configuration. The support lasted for 14\n                    \u00b1 6 days in respiratory, and for 5 \u00b1 4 days in cardiac cases. Intensive care\n                    length of stay was 27 \u00b1 13 and 21 \u00b1 17 days in the two patient groups. We\n                    discharged 9 patients in good functional state, 5 patients died during intensive\n                    care and further 3 later, during the hospital stay. Our results show that the\n                    implementation of an extracoporeal membrane oxygenation program is feasible in\n                    Hungarian tertiary centers. In line with international recommendations and\n                    adapting international training courses, the survival is very similar to that\n                    reported in the literature. Orv Hetil. 2021; 162(11): 425\u2013431.<\/jats:p>","DOI":"10.1556\/650.2021.32033","type":"journal-article","created":{"date-parts":[[2021,3,30]],"date-time":"2021-03-30T12:09:48Z","timestamp":1617106188000},"page":"425-431","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":1,"title":["Extracorporalis membr\u00e1noxigeniz\u00e1ci\u00f3 intenz\u00edv oszt\u00e1lyon"],"prefix":"10.1556","volume":"162","author":[{"given":"\u00c9va","family":"Z\u00f6llei","sequence":"first","affiliation":[{"name":"1 Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Int\u00e9zet, Szeged"},{"name":"7 \u00daj Klinika, AITI Titk\u00e1rs\u00e1g, Szeged, Semmelweis u. 6., 6725"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e1bor","family":"Bari","sequence":"additional","affiliation":[{"name":"2 Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Kardiol\u00f3giai K\u00f6zpont, Sz\u00edvseb\u00e9szeti Oszt\u00e1ly, Szeged"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivett","family":"Blaskovics","sequence":"additional","affiliation":[{"name":"3 Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Seb\u00e9szeti M\u0171t\u00e9ttani Int\u00e9zet, Szeged"},{"name":"4 Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiovaszkul\u00e1ris Int\u00e9zet, Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kinga","family":"Bod\u00f3","sequence":"additional","affiliation":[{"name":"1 Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Int\u00e9zet, Szeged"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zs\u00f3fia","family":"Csorba","sequence":"additional","affiliation":[{"name":"1 Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Int\u00e9zet, Szeged"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P\u00e9ter","family":"Hankovszky","sequence":"additional","affiliation":[{"name":"1 Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Int\u00e9zet, Szeged"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anita","family":"Kors\u00f3s","sequence":"additional","affiliation":[{"name":"1 Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Int\u00e9zet, Szeged"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e1s","family":"Lovas","sequence":"additional","affiliation":[{"name":"1 Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Int\u00e9zet, Szeged"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antal","family":"Szab\u00f3-Bicz\u00f3k","sequence":"additional","affiliation":[{"name":"2 Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Kardiol\u00f3giai K\u00f6zpont, Sz\u00edvseb\u00e9szeti Oszt\u00e1ly, Szeged"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barna","family":"Babik","sequence":"additional","affiliation":[{"name":"1 Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Int\u00e9zet, Szeged"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zsolt","family":"Moln\u00e1r","sequence":"additional","affiliation":[{"name":"5 P\u00e9csi Tudom\u00e1nyegyetem, Transzl\u00e1ci\u00f3s Medicina Int\u00e9zet, P\u00e9cs"},{"name":"6 Poznan University of Medical Sciences, Department of Anaesthesiology and Intensive Therapy, Poznan, Lengyelorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e1szl\u00f3","family":"Rudas","sequence":"additional","affiliation":[{"name":"1 Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Int\u00e9zet, Szeged"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"386","DOI":"10.21037\/atm.2018.10.11","article-title":"Mechanical ventilation and respiratory monitoring during extracorporeal membrane oxygenation for respiratory support","volume":"6","author":"1 Patroniti","year":"2018","unstructured":"1 Patroniti N, Bonatti G, Senussi T, et al. 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JAMA 2009; 302: 1888-1895.","journal-title":"JAMA"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1659","DOI":"10.1001\/jama.2011.1471","article-title":"Referral to an extracorporeal membrane oxygenation center and mortality among patients with severe 2009 influenza A(H1N1)","volume":"306","author":"5 Noah","year":"2011","unstructured":"5 Noah MA, Peek GJ, Finney SJ, et al. Referral to an extracorporeal membrane oxygenation center and mortality among patients with severe 2009 influenza A(H1N1). JAMA 2011; 306: 1659-1668.","journal-title":"JAMA"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"276","DOI":"10.1164\/rccm.201205-0815OC","article-title":"Extracorporeal membrane oxygenation for pandemic influenza A(H1N1)-induced acute respiratory distress syndrome: a cohort study and propensity-matched analysis","volume":"187","author":"6 Pham","year":"2013","unstructured":"6 Pham T, Combes A, Roz\u00e9 H, et al. 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N Engl J Med. 2018; 378: 1965-1975.","journal-title":"N Engl J Med"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1016\/S2213-2600(18)30452-1","article-title":"Venovenous extracorporeal membrane oxygenation for acute respiratory distress syndrome: a systematic review and meta-analysis","volume":"7","author":"10 Munshi","year":"2019","unstructured":"10 Munshi L, Walkey A, Goligher E, et al. Venovenous extracorporeal membrane oxygenation for acute respiratory distress syndrome: a systematic review and meta-analysis. Lancet Respir Med. 2019; 7: 163-172.","journal-title":"Lancet Respir Med"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"826","DOI":"10.1097\/ALN.0b013e3181b764d2","article-title":"Tidal volume lower than 6 ml\/kg enhances lung protection: role of extracorporeal carbon dioxide removal","volume":"111","author":"11 Terragni","year":"2009","unstructured":"11 Terragni PP, Del Sorbo L, Mascia L, et al. Tidal volume lower than 6 ml\/kg enhances lung protection: role of extracorporeal carbon dioxide removal. Anesthesiology 2009; 111: 826-835.","journal-title":"Anesthesiology"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"847","DOI":"10.1007\/s00134-012-2787-6","article-title":"Lower tidal volume strategy (approximately 3 ml\/kg) combined with extracorporeal CO2 removal versus 'conventional' protective ventilation (6 ml\/kg) in severe ARDS: the prospective randomized Xtravent-study","volume":"39","author":"12 Bein","year":"2013","unstructured":"12 Bein T, Weber-Carstens S, Goldmann A, et al. Lower tidal volume strategy (approximately 3 ml\/kg) combined with extracorporeal CO2 removal versus 'conventional' protective ventilation (6 ml\/kg) in severe ARDS: the prospective randomized Xtravent-study. 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Crit Care 2016; 20: 36.","journal-title":"Crit Care"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"592","DOI":"10.1007\/s00134-019-05567-4","article-title":"Feasibility and safety of extracorporeal CO2 removal to enhance protective ventilation in acute respiratory distress syndrome: the SUPERNOVA study","volume":"45","author":"14 Combes","year":"2019","unstructured":"14 Combes A, Fanelli V, Pham T, et al. Feasibility and safety of extracorporeal CO2 removal to enhance protective ventilation in acute respiratory distress syndrome: the SUPERNOVA study. Intensive Care Med. 2019; 45: 592-600.","journal-title":"Intensive Care Med"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"1437","DOI":"10.1007\/s00134-016-4452-y","article-title":"The feasibility and safety of extracorporeal carbon dioxide removal to avoid intubation in patients with COPD unresponsive to noninvasive ventilation for acute hypercapnic respiratory failure (ECLAIR study): multicentre case-control study","volume":"42","author":"15 Braune","year":"2016","unstructured":"15 Braune S, Sieweke A, Brettner F, et al. The feasibility and safety of extracorporeal carbon dioxide removal to avoid intubation in patients with COPD unresponsive to noninvasive ventilation for acute hypercapnic respiratory failure (ECLAIR study): multicentre case-control study. Intensive Care Med. 2016; 42: 1437-1444.","journal-title":"Intensive Care Med"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"519","DOI":"10.1007\/s00134-016-4673-0","article-title":"Extracorporeal carbon dioxide removal (ECCO2R) in patients with acute respiratory failure","volume":"43","author":"16 Morelli","year":"2017","unstructured":"16 Morelli A, Del Sorbo L, Pesenti A, et al. Extracorporeal carbon dioxide removal (ECCO2R) in patients with acute respiratory failure. Intensive Care Med. 2017; 43: 519-530.","journal-title":"Intensive Care Med"},{"key":"ref16","unstructured":"17 Extracorporeal Life Support Organization (ELSO). Guidelines for adult respiratory failure. August, 2017. Available from: https:\/\/www.elso.org\/Portals\/0\/ELSO%20Guidelines%20For%20Adult%20Respiratory%20Failure%201_4.pdf [accessed: August 8, 2020]."},{"key":"ref17","doi-asserted-by":"publisher","first-page":"557","DOI":"10.1001\/jama.2019.9302","article-title":"Extracorporeal life support for adults with respiratory failure and related indications: a review","volume":"322","author":"18 Brodie","year":"2019","unstructured":"18 Brodie D, Slutsky AS, Combes A. Extracorporeal life support for adults with respiratory failure and related indications: a review. JAMA 2019; 322: 557-568.","journal-title":"JAMA"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"1374","DOI":"10.1164\/rccm.201311-2023OC","article-title":"The Respiratory Extracorporeal Membrane Oxygenation Survival Prediction (RESP) score","volume":"189","author":"19 Schmidt","year":"2014","unstructured":"19 Schmidt M, Bailey M, Sheldrake J, et al. Predicting survival after extracorporeal membrane oxygenation for severe acute respiratory failure. The Respiratory Extracorporeal Membrane Oxygenation Survival Prediction (RESP) score. Am J Respir Crit Care Med. 2014; 189: 1374-1382.","journal-title":"Am J Respir Crit Care Med"},{"key":"ref19","unstructured":"20 Extracorporeal Life Support Organization (ELSO). Guidelines for adult cardiac failure. December, 2013. Available from: https:\/\/www.elso.org\/Portals\/0\/IGD\/Archive\/FileManager\/e76ef78eabcusersshyerdocumentselsoguidelinesforadultcardiacfailure1.3.pdf [accessed: August 8, 2020]."},{"key":"ref20","unstructured":"21 Extracorporeal Life Support Organization (ELSO). Guidelines for ECMO Centers. March, 2014. Available from: https:\/\/www.elso.org\/Portals\/0\/IGD\/Archive\/FileManager\/faf3f6a3c7cusersshyerdocumentselsoguidelinesecmocentersv1.8.pdf [accessed: August 8, 2020]."},{"key":"ref21","doi-asserted-by":"publisher","first-page":"488","DOI":"10.1164\/rccm.201404-0630CP","article-title":"Position paper for the organization of extracorporeal membrane oxygenation programs for acute respiratory failure in adult patients","volume":"190","author":"Combes A","year":"2014","unstructured":"22 Combes A, Brodie D, Bartlett R, et al.; the International ECMO Network (ECMONet). Position paper for the organization of extracorporeal membrane oxygenation programs for acute respiratory failure in adult patients. Am J Respir Crit Care Med. 2014; 190: 488-496.","journal-title":"Am J Respir Crit Care Med"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1016\/j.resuscitation.2015.03.021","article-title":"Ethics in the use of extracorporeal cardiopulmonary resuscitation in adults","volume":"91","author":"23 Riggs","year":"2015","unstructured":"23 Riggs KR, Becker LB, Sugarman J. Ethics in the use of extracorporeal cardiopulmonary resuscitation in adults. Resuscitation 2015; 91: 73-75.","journal-title":"Resuscitation"},{"key":"ref23","doi-asserted-by":"publisher","unstructured":"24 Madurka I, Bart\u00f3k T, Kormos\u00f3i-T\u00f3th K, et al. Successful extracorporeal membrane oxygenation (ECMO) treatment in Legionella pneumonia. [Sikeres extracorporalis membr\u00e1noxigeniz\u00e1ci\u00f3s (ECMO) kezel\u00e9s Legionella-pneumoni\u00e1ban.] Orv Hetil. 2019; 160: 235-240. [Hungarian]","DOI":"10.1556\/650.2019.31285"},{"key":"ref24","doi-asserted-by":"publisher","unstructured":"25 Madurka I, Elek J, Kocsis \u00c1, et al. Experiences with venovenous extracorporeal membrane oxygenation (ECMO) support for thoracic surgery in Hungary. Retrospective clinical study. [Venovenosus extracorporalis membr\u00e1noxigeniz\u00e1ci\u00f3val (ECMO) v\u00e9gzett mellkasseb\u00e9szeti m\u0171t\u00e9tek tapasztalatai Magyarorsz\u00e1gon. Retrospekt\u00edv klinikai tanulm\u00e1ny.] Orv Hetil. 2019; 160: 1655-1662. [Hungarian]","DOI":"10.1556\/650.2019.31530"}],"container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/162\/11\/article-p425.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/650\/162\/11\/article-p425.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T14:35:37Z","timestamp":1698762937000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/162\/11\/article-p425.xml"}},"subtitle":["14 eset ismertet\u00e9se"],"short-title":[],"issued":{"date-parts":[[2021,3,14]]},"references-count":25,"journal-issue":{"issue":"11"},"URL":"https:\/\/doi.org\/10.1556\/650.2021.32033","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3,14]]}}}