目前在呼吸道外科手术中体外生命支持的使用:叙述性审查
Alexis Slama1,2, Theresa Stork1,2, Stephane Collaud1,2
1Department of Thoracic Surgery, University Medicine Essen, Ruhrlandklinik, Essen, Germany.
Journal of thoracic disease
|August 10, 2023
概括
体外生命支持 (ECLS) 和体外膜氧化 (ECMO) 对于严重的呼吸或心血管衰竭至关重要. 术内ECLS在复杂的呼吸道手术中越来越重要,人们越来越喜欢静脉 (V-V) ECMO.
科学领域:
- 心血管和呼吸系统医学
- 手术创新 在外科创新.
- 关键护理医学 关键护理医学
背景情况:
- 身体外生命支持 (ECLS) 和身体外膜氧化 (ECMO) 是严重呼吸或心血管衰竭的确立治疗方法.
- 在外科手术期间,当常规通风不足时,外科手术期间提供临界氧化支持.
- 静脉动脉 (V-A) ECMO在紧急情况和血液动力学不稳定时提供必要的心肺支持.
研究的目的:
- 审查ECLS在呼吸道外科手术中的利用和具体应用.
- 分析 ECMO 模式的趋势和偏好,用于在气管支气管手术中进行手术内支持.
主要方法:
- 进行了叙事文学评论.
- 分析了168例在呼吸道外科手术中进行手术后ECLS的数据.
- 病例根据手术和ECMO模式 (V-V或V-A) 的指示进行分类.
主要成果:
- 呼吸道外科手术中ECLS的常见症状包括恶性疾病,气管狭窄,呼吸道损伤和先天性疾病.
- 在过去的十年中,已经观察到手术内ECLS病例的数量显著增加.
- 确定了使用静脉 (V-V) ECMO而不是静脉动脉 (V-A) ECMO的明显趋势.
结论:
- 术内ECLS,特别是V-V ECMO,正在成为管理复杂的呼吸道手术中不可或缺的工具.
- 这些发现凸显了ECMO在挑战性气管支气管手术中的日益重要和有效性.
- 这些先进的生命支持技术对于改善患者在专业手术环境中的结果至关重要.
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