外体膜氧化系统的预组装和储存的临床实践
Patrick Winnersbach1, Alexander Wallraff2, Marlene Schadow3
1From the Department of Anesthesiology, University Hospital RWTH Aachen University, Aachen, Germany.
概括
预先组装的体外膜氧化 (ECMO) 系统在德国的中心中显示出不同的存储实践. 基于证据的标准操作程序 (SOP) 的需要对于安全的ECMO供应至关重要.
科学领域:
- 心血管外科心血管外科
- 关键护理医学 关键护理医学
- 输液技术是输液技术的一种.
背景情况:
- 身体外膜氧化 (ECMO) 需要有效的系统准备.
- 身体外生命支持组织 (ELSO) 的指导方针允许储存初始化ECMO系统长达30天.
- 对于ECMO系统的预组装实践在各机构之间存在很大差异.
研究的目的:
- 调查德国中心ECMO系统的现有预装配和储存实践.
- 确定对ECMO系统准备的标准化操作程序 (SOP) 的需要.
主要方法:
- 在德国83个ECMO中心向首席输液师分发了一项匿名在线调查.
- 收集了关于预组装速率,储存方法 (干/湿),标准操作程序的可用性和定义的储存时间的数据.
- 达到了53%的响应率 (44个中心).
主要成果:
- 33%的中心没有预先组装ECMO系统.
- 77%的中心已经预先组装了可用的ECMO系统,使用干燥,湿或湿的循环方法.
- 只有50%的中心有SOP,57%的输液师希望有基于证据的SOP.
- 湿式预组装系统平均在20天后丢弃,低于ELSO指南的30天.
结论:
- 预装配和存储ECMO系统的做法是异质的.
- 需要基于证据的标准操作程序,以确保ECMO系统的一致和安全的供应.
- 建立明确的卫生标准,培训方案和最大储存时间是必不可少的.
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