通过皮肤,超声波引导的单位和多位管用于新生儿静脉静脉外体膜氧化
Florian Kipfmueller1,2, Bartolomeo Bo1, Joachim Schmitt1
1Department of Neonatology and Pediatric Intensive Care, Children's Hospital, University of Bonn, Bonn, Germany.
Pediatric pulmonology
|June 14, 2023
概括
超声导向的皮肤静脉静脉 (VV) ECMO管道是新生儿呼吸衰竭的可行技术. 这种方法证明了成功的管安置和高断奶率,并带来了最小的并发症.
科学领域:
- 新生儿重症监护室新生儿重症监护室
- 儿科心脏病学 儿科心脏病学
- 支持心肺血管的支持.
背景情况:
- 身体外膜氧化 (ECMO) 是严重呼吸衰竭的新生儿的关键生命支持.
- 在新生儿的皮肤,超声波导向静脉静脉 (VV) ECMO管道的数据是有限的.
- 这项研究解决了关于这种特定技术的信息稀缺问题.
研究的目的:
- 描述对新生儿进行超声导向皮肤穿VV ECMO管的机构经验.
- 评估该技术的可行性和安全性.
- 报告接受此程序的新生儿患者的结果.
主要方法:
- 在2017年1月至2021年1月期间获得ECMO支持的新生儿的回顾性分析.
- 专注于使用塞尔丁格技术进行皮肤穿VV ECMO管治疗的患者.
- 分析单位或多位道方法的分析.
主要成果:
- 54名新生儿接受了皮肤穿ECMO插管.
- 在大多数情况下,成功地实现了管定位,在72%的患者中使用了13个法式双双光门管.
- 82%的患者成功地从ECMO中奶,在管切除期间的并发症率很低.
结论:
- 在大多数新生儿患者中,对VV ECMO管进行超声波引导的皮肤穿Seldinger技术是可行的.
- 单站式和多站式管方法都有效.
- 该技术支持重度呼吸衰竭的新生儿取得成功的结果.
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