双体外膜氧化管技术仅使用胸外心声 - 一个案例系列
Lin Huang1, Li-Li Wu1, Yu-Fen Ding1
1Adult Intensive Care Unit, the University of Hong Kong-Shenzhen Hospital, Guangdong, China.
Journal of intensive care medicine
|July 23, 2024
概括
仅通过胸腔回声心动图就能指导双双光 (DLC) 插入静脉静脉外体膜氧化 (V-V ECMO). 这种方法在COVID-19大流行期间被证明是安全和可行的,在其他指导方法无法使用时提供了有价值的替代方案.
科学领域:
- 关键护理医学 关键护理医学
- 心血管外科心血管外科
- 医疗成像医学成像
背景情况:
- 由于循环循环减少和患者移动性改善,双双光 (DLC) 越来越多地用于静脉静脉外体膜氧化 (V-V ECMO).
- 对于DLC插入的标准指南包括光学或食道横断心声学,由于隔离政策和人员短缺,在COVID-19大流行期间具有挑战性.
- 在这种情况下,紧急DLC插入特别难以管理.
研究的目的:
- 评估单独使用胸前回声心脏成像 (TTE) 来指导DLC插入V-V ECMO的安全性和可行性.
- 为TTE引导的DLC插入提供详细的程序指南,强调安全考虑.
- 在COVID-19大流行期间评估该技术的实用性.
主要方法:
- 在COVID-19大流行期间,对四名接受V-V ECMO的患者进行了回顾性审查.
- 进行了DLC插入,使用胸回声心脏成像作为唯一的成像方式.
- 开发并遵循了一份以安全为重点的逐步程序指南.
主要成果:
- 四名患者成功接受了V-V ECMO与TTE引导的DLC管治疗.
- 在任何患者中都没有观察到与管程序相关的并发症.
- 该技术在COVID-19爆发的关键时期成功实施.
结论:
- 对于DLC插入的跨胸腔心声指导是可行的和安全的替代方法.
- 这种技术可以成为一种有价值的补充工具,特别是在流行病等公共卫生危机期间.
- 一个详细的程序指南提高了TTE引导DLC插入的安全性和有效性.
关键词:
在 COVID-19 疫情中,道化 (cannulation) 是一种对道进行道化的方法.双流光管 双流光管身体外膜氧化氧化跨胸腔心脏回声学 (Transthoracic Echocardiography) 是一种心脏回声学.更多相关视频
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