RESUMO
Management of all pathologies, and in particular that of the most frequent ones, should whenever possible be based on robust evidence and arguments. New studies published this year enable rationalizing of screening in certain clinical situations, more adequate treatment of others, and open the way for novel and apparently very effective treatments. Whether it be the screening of carotid stenosis, the treatment of pericarditis, of heart failure, of chronic obstructive lung disease or spontaneous bacterial peritonitis, paradigm changes are conceivable. This selective review of the literature summarizes certain studies published this year.
Assuntos
Medicina Interna/tendências , Antagonistas Adrenérgicos beta/efeitos adversos , Aminobutiratos/uso terapêutico , Antagonistas de Receptores de Angiotensina/uso terapêutico , Doenças Assintomáticas , Fibrilação Atrial/complicações , Compostos de Bifenilo , Estenose das Carótidas/diagnóstico , Colchicina/uso terapêutico , Diuréticos/uso terapêutico , Combinação de Medicamentos , Insuficiência Cardíaca/tratamento farmacológico , Hospitais , Humanos , Cirrose Hepática/complicações , Entorpecentes/uso terapêutico , Neprilisina/antagonistas & inibidores , Pericardite/prevenção & controle , Peritonite/complicações , Doença Pulmonar Obstrutiva Crônica/tratamento farmacológico , Doença Pulmonar Obstrutiva Crônica/terapia , Terapia Respiratória , Espironolactona/uso terapêutico , Acidente Vascular Cerebral/etiologia , Tetrazóis/uso terapêutico , ValsartanaRESUMO
ECMO (extracorporeal membrane oxygenation) is a cardiac or respiratory support which uses the principle of extracorporeal circulation (ECC). It consists of a pump generating an output as well as a membrane oxygenating blood and removing CO2. Thanks to an ECMO mobile team, expert caregivers can now perform the circulatory support in primary centers and then transfer patients under assistance to the referral center. After a brief summary of the two different anatomical approaches (veno-arterial and veno-venous) as well as their indications, the authors will share their experience of two transferred patients under ECMO to Geneva. Referral center and ECMO mobile team concepts will then be detailed focusing on the present situation in Switzerland.