在两个大批量中心,儿童体外膜氧化 (ECMO) 待命的经验
Christopher Nemeh1, Goeto Dantes2, Caitlin Cain-Trivette1
1From the Division of Pediatric Surgery, Department of Surgery, Columbia University Vagelos College of Physicians and Surgeons/NewYork-Presbyterian Morgan Stanley Children's Hospital, New York, New York.
概括
身体外膜氧化 (ECMO) 备用状态很少导致儿科患者的管,大多数病例涉及心脏并发症. 预测哪些患者需要ECMO仍然具有挑战性,需要进一步的研究.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 心血管外科心血管外科
- 呼吸系统支持 呼吸系统支持
背景情况:
- 身体外膜氧化 (ECMO) 是高风险手术期间心肺衰竭的救生干预措施.
- 缺乏关于儿科ECMO待机的明确指示,导致使用多样化.
研究的目的:
- 分析儿科ECMO备用系统在高人数中心的使用情况和结果.
- 确定影响在备用状态下需要ECMO管道的因素.
主要方法:
- 从2016年到2023年,对394个儿科ECMO待命病例进行了回顾性审查.
- 在备用位置,程序类型和ECMO通道要求上收集的数据.
- 分析待命症的征兆,主要是心脏和呼吸道并发症.
主要成果:
- 只有2% (394人中8人) 的儿科患者在待机期间需要ECMO管道.
- 大多数待命病例是心脏病 (84%) 和呼吸系统 (16%) 的病例.
- 待机发生在心脏导管套房,OR,ICU和IR套房,与不同的导管率.
结论:
- 儿科ECMO备用很少与管结合在一起,这凸显了预测患者脱补偿的困难.
- 需要进一步的研究来优化ECMO待命患者的选择,平衡利益与资源分配.
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