一项调查,量化美国体外膜氧化回收计划的数量和结构
Mircea R Mihu1,2, Laura V Swant1, Robert S Schoaps1
1Specialty Critical Care, Advanced Cardiac Care and Acute Circulatory Support, Nazih Zuhdi Transplant Institute, Integris Baptist Medical Center, Oklahoma City, OK 73112, USA.
Journal of clinical medicine
|March 28, 2024
概括
许多美国中心提供体外膜氧化 (ECMO) 检索程序,但很少有人进行大量的检索. 心胸外科医生最常在这些关键的患者取回过程中进行管.
科学领域:
- 心脏病学 心脏病学
- 胸部外科手术 胸部外科手术
- 临界护理医学 临界护理医学
背景情况:
- 身体外膜氧化 (ECMO) 对于呼吸/循环功能衰竭至关重要,但是集中的.
- 具有检索能力的区域ECMO中心将这种救命治疗扩展到非ECMO设施.
- 关于美国ECMO检索计划,其结构和人员的数据很少.
研究的目的:
- 调查美国成年ECMO程序的检索能力.
- 为了确定ECMO检索程序的流行,结构和数量.
- 为了识别医生专家在取回过程中执行管和管理.
主要方法:
- 在ELSO数据库中的所有成年美国ECMO计划中分发了一份12个问题的在线调查.
- 调查数据是使用SurveyMonkey收集的.
- 响应率为49.6% (274个中心中有136个).
主要成果:
- 46%的响应中心 (63/136) 运行ECMO检索程序.
- 大多数计划 (58/63) 提供静脉动脉 (V-A) 和静脉静脉 (V-V) ECMO检索.
- 大多数中心 (52%) 每年进行的检索次数少于10次;只有8%的检索次数超过50次.
- 心胸外科医生进行的道术最多 (48%),紧随其后的是密集型外科医生 (13%).
结论:
- 许多ECMO中心提供搜索服务.
- 这些程序中的少数每年管理大量ECMO检索.
- 心胸外科医生是ECMO检索过程中执行道的首要专家.
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