(B)另外一种ECMO置管,长静脉置管在下腔静脉,短静脉置管在右心房。(C) VV ECMO通过右颈内静脉(RIJV)置入双腔双套管(Avalon cannula)。 02 血管并发症 由于需要通过大插管(15-24Fr)的ECMO循环提供维持生命的氧合,血管并发症被证实是治疗这些患者的一个临床挑战。据报道,早期和晚期肢体缺血的发生率在10%到70...
图8. 中心 VA ECMO 置管方案,多级静脉引流管置入右心耳,动脉导管置入升主动脉。 Aortic cannula 主动脉置管,Right atrial cannula 右心房置管。 图9. 外周 VA ECMO 置管方案,动脉置管进入左股动脉,远端灌注导管进入左股浅动脉。...
包括: Trans-apical surgical LV vent cannula Trans-aortic LV ‘pigtail’ catheter Impella® Pulmonary arterial drainage via single lumen cannula Pulmonary venous drainage in conjunction with central VA ECMO cannulation
A cannula for the circulation of a fluid in an artery, includes a main lumen conveying a volume of fluid towards a first distal end; an accessory lumen including at least one inner portion arranged inside the main lumen, including: a proximal end situated downstream from the proximal end of...
central V-A ECMO at the time of surgery due to right ventricular dysfunction and was subsequently reconfigured to a bi-femoral access and return cannula. He subsequently had bleeding from the return cannula site and was taken back to theatre for a right-sided subclavian artery return line ...
11、5m22.5-3.5m23.5m-4.524.5m24.5m2x2Cannula(Fr)A:12-15A:12-15A:16-19V:14-19A:17-21V:17-21A:19-21V:19-23A:21V:21-23开始阶段建立ECMO肝素负荷量前15分钟可尽量提高流量,快速改善机体状况此后根据心率、血压、中心静脉压等调整到适当的流量纠正酸碱电解质平衡紊乱约2小时后ECMO进入支持阶段。支持...
经皮插管技术经皮插管技术A small entry angle of percutaneous cannula(四)左心房插管(四)左心房插管 不管任何年龄段的病人,在左心功能非常不管任何年龄段的病人,在左心功能非常差的情况下,由于左心室不能有效的将左心差的情况下,由于左心室不能有效的将左心内血液射出,导致左心室涨满不利于心功能内血液射出,...
istemporary(daystoweeks)canbepartialortotal avoidsongoingiatrogenicinjury andsustainslifewhilebridgingtoorgan recoveryorreplacement 精选课件 2 内容纲要 •插管的流体力学•插管技术•VVECMO插管•VAECMO插管•ECMO联合插管 精选课件 3 单腔管 爱德华VFEM股静脉插管 精选课件 4 OrigenBiomedicaldoublelumencannul...
Intensive Care Med (2017) 43:1725 DOI 10.1007/s00134-017-4886-x IMAGING IN INTENSIVE CARE MEDICINE Multistage ECMO cannulas: first holes get it all? Philip Fortuna* , Nuno Germano, Cristina José and Ana Martins © 2017 Springer-Verlag GmbH Germany and ESICM Multistage ...
ECMO插管及部位选择