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Radiologic evaluation of the intravenous oxygenator
P R Shukla1, M T Snider, K D Hopper
1College of Medicine, Pennsylvania State University 17033.
Radiology
|June 1, 1993
Summary
The intravenous oxygenator (IVOX) is an intracorporeal CO2-O2 exchanger for severe respiratory deficiency. Radiologists require specific imaging support for its use and interpretation.
Area of Science:
- Radiology
- Critical Care Medicine
- Biomedical Engineering
Background:
- Severe respiratory deficiency, often due to ARDS, presents a critical challenge in intensive care.
- The intravenous oxygenator (IVOX) is an intracorporeal CO2-O2 exchanger designed for patients with severe respiratory failure.
- This device requires specialized imaging support for placement and monitoring.
Observation:
- The study evaluated the radiologic appearance of the IVOX in six young adult patients with severe ARDS.
- Pre-insertion ultrasound (US) assessed vascular dimensions of the internal jugular vein, common femoral vein, and inferior vena cava.
- Radiographic and sonographic techniques were crucial for device placement and follow-up.
Findings:
- The IVOX demonstrated improved oxygenation in all patients.
- Successful IVOX placement and function were visualized through radiography and US.
- One patient survived due to the benefits of IVOX therapy.
Implications:
- Radiologists must be familiar with the IVOX's function, imaging characteristics, and placement.
- Understanding the role of US in IVOX management is essential for effective patient care.
- As IVOX use may increase, standardized imaging protocols are important for this life-support technology.