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J Clin Monit Comput · Jun 2016
A numerical model of blood oxygenation during veno-venous ECMO: analysis of the interplay between blood oxygenation and its delivery parameters.
- Elmi Messai, Abdesselam Bouguerra, Guy Harmelin, Gabriella Di Lascio, Manuela Bonizzoli, and Massimo Bonacchi.
- Service de réanimation, Centre Hospitalier de Cholet, 1 rue Marengo, BP 507, 49325, Cholet, France. messaielmi@gmail.com.
- J Clin Monit Comput. 2016 Jun 1; 30 (3): 327-32.
AbstractVeno-venous extracorporeal membrane oxygenation (VV-ECMO) is an important tool in the management of most severe forms of acute respiratory failure. The determinants and management of oxygen delivery in patients treated with VV-ECMO is a complex topic. The physiological principles of oxygenation on VV-ECMO are reviewed in many textbooks. However a numerical model is an additional instrument to be used in understanding and exploring this intricate subject matter. We present a numerical model of blood oxygenation during VV-ECMO. Using this model we examined the role and impact of each determinant on blood oxygenation. The numerical analysis of variation and interplay between each oxygenation determinants during VV-ECMO is presented in graphical form. These results corroborate all the findings of previous studies. The proposed numerical model facilitates understanding of oxygenation physiology during VV-ECMO; it can be used for a medical simulation system and for teaching the principles of oxygenation during VV-ECMO.
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