[体外膜氧化在复杂的气管支气管外科手术:一系列案例报告和系统审查]
Chen Shu1, Peilong Bao1, Yunfeng Ni1
1Department of Thoracic Surgery, Tangdu Hospital, Air Force Medical University, Xi'an 710038, China.
Zhongguo fei ai za zhi = Chinese journal of lung cancer
|November 4, 2024
概括
体外膜氧化 (ECMO) 在复杂的气管支气管外科手术 (TBS) 期间提供了至关重要的支持,包括气管瘤切除和气道重建. 这种方法证明了安全性和有效性,在关键的胸部手术场景中保护患者.
科学领域:
- 胸部外科手术 胸部外科手术
- 支持心肺血管的支持.
- 航空航道管理的管理.
背景情况:
- 复杂的气管支气管外科手术 (TBS) 提出了重要的气道管理挑战.
- 身体外膜肺氧化 (ECMO) 在胸部外科手术中很少使用,除了肺移植外.
研究的目的:
- 评估ECMO在接受复杂TBS的患者的安全性和有效性.
- 评估ECMO在胸部手术期间管理关键气道状况方面的作用.
主要方法:
- 在ECMO支持下进行复杂TBS的5名患者的回顾性分析 (2019年5月-2024年6月).
- 程序包括气管瘤切除/重建和急性气管破裂修复,所有使用静脉静脉ECMO (V-V ECMO).
- 抗凝血策略有所不同:在2名患者中进行全身肝激素化,在3名患者中仅使用肝激素涂层线.
主要成果:
- 在ECMO支持的TBS后,五分之四的患者康复良好.
- 一名患者在手术后一个月经历了致命的结局,原因是与免疫有关的肺炎.
- 在复杂的气道重建过程中,V-V ECMO提供了足够的生理支持.
结论:
- 在复杂的气管支气管外科手术中,ECMO是一种安全有效的支持措施.
- 它在紧急情况下特别有价值,例如气管狭窄,有窒息风险.
- ECMO可以保护接受具有挑战性的气管和支气管重建手术的患者.
相关概念视频
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
369
Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
369
Oxygen Delivering System III: Tracheostomy and T-piece
516
Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
516
Tracheostomy Decannulation
115
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
115
Endotracheal Intubation I: Procedure
790
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
790
Endotracheal Tube Extubation
425
Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
425
Tracheostomy: Procedure and Tubes
418
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
418


