在静脉电心术中卸载左心室:在谁,何时,以及如何?
Saad M Ezad1, Matthew Ryan1, Dirk W Donker2
1British Heart Foundation Centre of Research Excellence and National Institute for Health and Care Research Biomedical Research Centre at the School of Cardiovascular and Metabolic Medicine and Sciences, King's College London, UK (S.M.E., M.R., D.P.).
Circulation
|April 17, 2023
概括
静脉外膜氧化 (VA-ECMO) 可能会加重左心室 (LV) 的后负荷. 在VA-ECMO期间的LV卸载策略可能会改善结果,但最佳使用仍然不清楚.
科学领域:
- 心脏病学
- 心血管外科
- 危急护理医学
背景情况:
- 静脉外膜氧化 (VA-ECMO) 提供了对心脏性休克的重要心肺呼吸支持.
- 然而,VA-ECMO增加了左心室 (LV) 后负荷,可能导致LV膨胀和诸如血栓和肺等并发症.
结论:
- 虽然观察数据表明在VA-ECMO过程中LV卸载的结果有所改善,但缺乏明确的指导方针.
- 卸载的好处与与设备相关的并发症的风险之间的平衡至关重要.
- 需要进一步的研究来确定LV卸载策略的确切作用和实施.
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