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相关概念视频

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

10
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
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Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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相关实验视频

Updated: Jul 11, 2025

Author Spotlight: Simulating Pediatric Cardiac Surgery Using a Neonatal Piglet Model
04:55

Author Spotlight: Simulating Pediatric Cardiac Surgery Using a Neonatal Piglet Model

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在ECMO上进行儿科手术干预.

R Scott Eldredge1, Katie W Russell2

  • 1Department of Surgery, Mayo Clinic, Phoenix, AZ, United States; Department of Pediatric Surgery, Phoenix Children's, Phoenix, AZ, United States.

Seminars in pediatric surgery
|November 6, 2023
PubMed
概括

由于抗凝固和电路的改进,在体外膜氧化 (ECMO) 上进行儿科手术干预现在是可行的. 在儿科患者中,手术的指示不应受到ECMO支持的限制.

科学领域:

  • 儿科手术 儿科手术
  • 支持心肺血管的支持.
  • 关键护理医学 关键护理医学

背景情况:

  • 外体膜氧化 (ECMO) 由于出血风险,传统上限制了手术干预.
  • 在ECMO技术和抗凝固药的进步已经减少了出血并发症.
  • 在ECMO治疗的儿科患者需要仔细考虑手术程序.

研究的目的:

  • 对接受ECMO的儿科患者进行抗凝血和手术的考虑.
  • 在儿童ECMO支持期间强调外科手术的可行性和安全性.

主要方法:

  • 在ECMO期间进行的儿科外科干预的文献综述.
  • 分析抗凝血策略及其对出血并发症的影响.

主要成果:

  • 儿科手术干预,如胸切除术,气管切除术和腹腔切除术是可行的ECMO.
  • 现代ECMO电路和抗凝血方案显著降低了出血风险.

结论:

  • 在ECMO支持期间,儿童手术干预越来越可行和安全.
  • 对于儿科患者,ECMO 不应排除指示的外科手术.
  • 精心管理抗凝剂对于ECMO的成功操作结果至关重要.
关键词:
在ECLS中,它是ECLS.在ECMO中,可以使用ECMO.身体之外的生命支持.身体外膜 氧化 氧化操作 操作 操作 操作 操作儿科 儿科 儿科程序 程序是指一个程序.手术干预 手术干预

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