VV ECMO气管外科手术和切除的作用:两个病例报告
Á Mingote1, D Simic Silva2, F J Gómez Nieto2
1Servicio de Anestesiología, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain; Facultad de Medicina, Universidad Autónoma de Madrid, Madrid, Spain.
Revista espanola de anestesiologia y reanimacion
|March 1, 2024
概括
静脉静脉外体膜氧化 (VV ECMO) 在复杂的切除手术中支持通风. 仔细的麻醉规划和管理潜在的VV ECMO并发症对于患者的安全至关重要.
科学领域:
- 心胸外科手术 心胸外科手术
- 麻醉学 麻醉学
- 关键护理医学 关键护理医学
背景情况:
- 骨切除是一个复杂的手术程序,需要专门的麻醉管理.
- 静脉静脉外体膜氧化 (VV ECMO) 是胸部外科手术中呼吸支的新兴技术.
研究的目的:
- 描述两名患者的麻醉管理,在VV ECMO的支持下进行切除.
- 突出在此背景下使用VV ECMO的可行性和挑战.
主要方法:
- 用吸入剂诱导麻醉,然后通过关和大腿管道启动VV ECMO.
- 在VV ECMO期间使用向受控输注进行麻醉维护.
- 使用血管压缩剂和输血产品治疗手术内出血.
主要成果:
- 在这两名患者中,使用VV ECMO实现了成功的麻醉管理和通风支持.
- 一名患者出现了出血,通过诺阿基因,血小板,新鲜冷血和红细胞有效管理.
结论:
- VV ECMO可以优化手术条件,并在切除过程中提供必要的呼吸支持.
- 仔细的麻醉规划和为VV ECMO相关并发症做好准备至关重要.
- 这种技术应该保留给经验丰富的第三级护理中心.
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