V-AV ECMO的利用和结果:系统性审查和元分析
Abhiraj Saxena1, John Curran1, Danial Ahmad1
1Division of Cardiac Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Artificial organs
|August 4, 2023
概括
静脉 - 动脉 - 静脉外体膜氧化 (V-AV ECMO) 是对特定患者的可行选择,通常从其他配置过渡. 对于V-AV ECMO的生存率似乎与更常见的ECMO类型相比较.
科学领域:
- 心血管医学 心血管医学
- 关键护理医学 关键护理医学
- 医疗技术 医疗技术 医学技术
背景情况:
- 静脉-动脉-静脉体外膜氧化 (V-AV ECMO) 是一种不经常使用的ECMO配置.
- 有限的数据存在于其特定的指示,使用模式和患者的结果.
研究的目的:
- 量化综合V-AV ECMO.现有的文献.
- 阐明与V-AV ECMO相关的指示,使用模式和结果.
主要方法:
- 一个系统的电子搜索发现了报告V-AV ECMO使用的研究.
- 从五项涉及77名患者的研究中提取和分析了数据.
主要成果:
- 大多数V-AV ECMO病例 (91%) 是从V-A或V-V ECMO过渡,很少有直接安置 (9%).
- 患者平均年龄为61岁,其中30%为女性. 在ICU的死亡率为46%.
- 在33%的患者中,成功的断奶发生了,其中3%的患者使用了持久辅助设备或移植.
结论:
- 在特定患者群体中,V-AV ECMO 作为增强心肺支持的可行方法.
- 观察到的V-AV ECMO的存活率与更普遍的ECMO配置的存活率相当.
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