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替代性静脉接入点,用于双光体外膜氧化管的氧化管

Armin-Kai Schoeberl^1,2, Dawid Staudacher³, Mitsuaki Kawashima⁴

¹Department of Thoracic Surgery, Medical University of Vienna, Vienna, Austria.

Interdisciplinary cardiovascular and thoracic surgery

|April 11, 2024

概括

替代性静脉通道为双光线管道提供安全和可行的静脉静脉外体膜氧化 (ECMO) 支持,当右侧内静脉是不可访问的. 这种方法可以确保重症患者继续接受ECMO治疗.

科学领域:

心血管医学心血管医学
肺部病理学肺部病理学
关键护理医学关键护理医学

背景情况:

静脉静脉外体膜氧化 (VV-ECMO) 通常使用通过右侧内静脉 (RIJV) 插入的双光.
在某些临床场景中,RIJV访问可能具有挑战性或不可能.
为了保持VV-ECMO的支持,需要使用替代的静脉通道.

研究的目的:

评估使用替代静脉接入点的单位双光线管道 (DLC) 的安全性和可行性.
为了评估不可访问RIJV患者的结果,需要VV-ECMO.

主要方法:

涉及大量ECMO中心的多机构回顾案例系列.
对20名接受呼吸衰竭替代DLC治疗的患者进行分析.
收集的数据包括基线特征,管技术,ECMO参数和并发症.

主要成果:

其他插入地点包括左侧内静脉,下静脉和股骨静脉.
在注射管过程中没有出现任何程序性并发症.
平均ECMO运行时间为15天,10名患者成功过渡到肺移植或恢复.

结论:

使用替代静脉接入的单站点DLC是VV-ECMO的安全和可行的策略.
这种方法有效地支持患有难以接入的RIJV的患者.
在复杂的情况下,替代站点可以扩大VV-ECMO的实用性.

关键词:

双光的管双光的管双流明导管是双流明导管的一种.身体外膜氧化器的氧化肺移植肺移植肺移植呼吸系统衰竭呼吸系统衰竭静脉接入静脉接入

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