气管切除和初级重建在有毒的体外膜氧化上
Samridhi Banskota1, Onkar Khullar1, Felix Fernandez1
1Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA.
静脉外体膜氧化 (VV-ECMO) 提供了一种安全的替代方案,可以在气管切除过程中提供呼吸支持. 这种技术避免了单肺通风,改善了可视化,并可能缩短复杂的呼吸道手术的手术时间.
科学领域:
- 胸部外科手术 胸部外科手术
- 支持心肺血管的支持.
- 麻醉学 麻醉学
背景情况:
- 通过后侧胸切除术切除气管,传统上需要跨表通风,这带来了技术上的挑战.
- 在重大呼吸道手术期间管理呼吸支是复杂的,特别是对于肺功能受损的患者.
- 现有的方法可能导致长时间的呼吸暂停或单肺通风,增加手术风险和复杂性.
研究的目的:
- 评估使用毒性体外膜氧化 (VV-ECMO) 在气管切除过程中用于手术内呼吸支的可行性和安全性.
- 展示一种替代跨桌通风的方法,可以改善手术条件和患者的治疗结果.
- 介绍一个使用VV-ECMO和全静脉麻醉进行大气管外科手术的案例.
主要方法:
- 图像引导的股骨管用于VV-ECMO.
- 实施低剂量肝素协议以尽量减少出血风险.
- 使用全静脉麻醉来补充VV-ECMO支持.
- 在不需要跨桌通风的情况下进行的外科手术.
主要成果:
- 在大气管外科手术期间,VV-ECMO提供了完整的手术内呼吸支持.
- 该技术避免了长时间的呼吸暂停和单肺通风,适应肺功能不佳的患者.
- 获得了改善的外科现场可视化和维持的手术节奏,可能减少了解静脉时间.
- 通过消除对内管重新定位的需要,手术场景变得整洁.
结论:
- 静脉ECMO是一种安全和可行的替代方案,用于在气管切除过程中进行手术内呼吸支.
- 这种方法促进了复杂的气道手术,特别是在呼吸功能受损的患者中.
- VV-ECMO提高了手术可视化和效率,为传统的跨桌通风提供了可行的替代方案.
更多相关视频
04:43Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
Published on: March 15, 2024
09:54Lung Rapid Recovery Procurement Combined with Abdominal Normothermic Regional Perfusion in Controlled Donation after Circulatory Death
Published on: August 15, 2022
相关概念视频
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
Oxygen Delivering System III: Tracheostomy and T-piece
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Tracheostomy: Procedure and Tubes
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy Care II: Procedure
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
Tracheostomy Decannulation
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Tracheostomy Care I: Pre-procedural Steps
Required Equipment
The equipment necessary for tracheostomy care includes:
