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在结合循环支持与ECMELLA治疗的情况下诊断脑死亡和连续的捐赠者管理

Florian J Raimann¹, Laurent M Willems²

¹Department of Anesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital, Goethe University Frankfurt, Frankfurt, Germany.

Frontiers in medicine

|April 4, 2025

概括

在具有先进的循环支持器件 (如ECMELLA疗法) 的器官捐赠者中,脑死亡的确定 (BDD) 是复杂的. 这项案例研究表明,BDD是可行的,尽管存在挑战,但它有助于器官捐献.

科学领域:

密集护理医学密集护理医学
移植移植移植移植
支持心血管系统的支持

背景情况:

确定脑死亡 (BDD) 在重症监护中具有挑战性.
在患有循环支持器械的患者中,标准的BDD协议往往无法适用.

研究的目的:

讨论BDD和ECMELLA治疗患者的器官采购的建议和证据.
在ECMELLA治疗中报告第一个BDD病例.

主要方法:

对BDD的可用建议和证据的审查.
基于ECMELLA治疗的临床案例进行讨论 (静脉外体膜氧化[vaECMO] + Impella CP).

主要成果:

患者的BDD多式侵入性循环支持,如ECMELLA治疗,是要求和时间密集的.
即使有先进的支持,BDD也可以安全地基于证据进行.

结论:

从这个案例中获得的见解可以帮助在结合机械循环支持的患者中促进器官捐赠.
安全和基于证据的BDD在复杂的重症监护场景中是可以实现的.

关键词:

在ECMO中,可以使用ECMO.心脏骤停是因为心脏停止了.关键护理关键护理关键护理皮肤上有一种叫做impella的皮肤.重症监护室的重症监护室是重症监护室的重症监护室.器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器

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