成年患者的对比增强计算机断层扫描指南,支持体外膜氧化
Arne Diehl1,2, Benjamin Coughlin3, Heather Moriarty3
1From the Department of Intensive Care and Hyperbaric Medicine, The Alfred Hospital, Melbourne, Australia.
本指南详细介绍了静脉动脉外体膜氧化 (VA ECMO) 患者的对比增强计算机断层扫描 (CT) 扫描. 它提供了对比度交付和ECMO调整的策略,以确保诊断CT成像质量.
科学领域:
- 医疗成像医学成像
- 支持心血管系统的支持
- 临界护理医学 临界护理医学
背景情况:
- 静脉动脉外体膜氧化 (VA ECMO) 显著影响患者的血液动力学和血液流动.
- 这些生理变化使得计算机断层扫描 (CT) 成像中的对比度变得复杂.
- 确保ECMO患者的诊断质量CT扫描需要特定的协议.
研究的目的:
- 为成年ECMO患者提供对比增强CT扫描的综合指南.
- 通过ECMO电路解决对比管理中的挑战.
- 概述ECMO设置和CT扫描技术所需的修改.
主要方法:
- 对VA ECMO患者的逐步方法的详细描述,其中包括大腿动脉返回小管.
- 在补充材料中包括静脉ECMO (VV ECMO) 的修改.
- 强调重症监护,CT放射和放射学之间的跨学科沟通.
主要成果:
- 促进关于ECMO设置,对比度 (路线和速率) 和扫描技术的清晰沟通.
- 在ECMO患者中避免非诊断性CT扫描的策略.
- 适应各种ECMO配置和患者场景的可适应方法.
结论:
- 一种标准化,协作式的方法对于ECMO患者的成功对比增强CT至关重要.
- 修改ECMO设置和CT协议对于最佳成像是必不可少的.
- 本指南旨在提高这种复杂人群的诊断准确性和患者护理.
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