(VA-ECMO)是重度循环衰竭患者重要的救治技术,其应用也越来越广 泛.经股动脉置管简单便捷,成为成人 VA-ECMO 最常用的置管方式.下肢缺血是经股动脉 VA-ECMO 治疗过 程中的常见并发症,一旦发生将严重影响患者预后及生存质量.为了规范 VA-ECMO 治疗期间下肢缺血的管理, 降低致残率及病死率,中国医师协会体外生命...
VA-ECMO流量不是去追求大流量,而是在恰当情况下,因为流量大了以后对心脏对冲的流量较大,心脏后负荷就容易增大。所以对VA-ECMO来讲,对流量的要求是在可能的情况下,越小的流量越好,或者说在满足机体氧供需求情况下,流量越小(越小:2L/min以上)越好,再小的流量膜肺的凝血容易堵管,一般来讲...
为了规范va-ecmo治疗期间下肢缺血的管理,降低致残率及病死率,中国医师协会体外生命支持专业委员会和山东省医师协会体外生命支持专业委员会特组织国内具有ecmo熟练使用经验的多学科医学专家,基于文献回顾和临床实践经验制定了《中国成人经股动脉va-ecmo治疗期间下肢缺血防治专家共识(2023)》,以期为经股动脉va-ecmo治疗期间...
distal perfusion cannula.结局指标包括肢体缺血 发生率和病死率.由 2 名评价员按纳入与排除标准选择文献,提取资料.应用 RevMan 5.3 软件进行 Meta 分析; 采用敏感性分析检验 Meta 分析结果的稳定性;采用漏斗图分析发表偏倚.结果 共纳入 17 篇文献,其中 11 篇 为病例系列研究,2 篇为技术描述研究,...
(livanova plc, london, united kingdom). after va-ecmo placement, patients were managed following standard operating procedures with modifications made at the discretion of an experienced intensivist. patients without signs of thrombosis or bleeding received unfractionated heparin aiming for an activated ...
Central VA-ECMO is usually placed in post-cardiotomy setting, when venous drainage cannula is placed in the right atrium (RA) or superior vena cava (SVC) and inferior vena cava (IVC) separately and oxygenated blood is returned directly into the ascending aorta. For the management of CS, ...
Results: Seventeen patients were supported with VA-ECMO during the study period with arterial cannula size of 16-20 French. All patients had NIRS monitoring after cannula placement and 13/17 patients had DPC placement, with no subsequent ischemia. Two of 4 patients without DPC developed ischemia;...
Methods: A retrospective review was conducted in 17 patients requiring VA- ECMO support via femoral cannulation from 1/ 2010 till 4/2012. After cannulation, all patients had near infared spectroscopy (NIRS) monitoring after cannula placement and most had placement of distal arterial perfusion ...
A 6Fr antegrade distal perfusion cannula (DPC) was also placed in the superficial femoral artery by IR at the time of cannulation. The median time from admission to procedure start was 10 [7–50] hours and the children were on ECMO for a median length of 3.2 [2.3–4.8] days. There ...
Impact of arterial and venous cannula diameter in venoarterial extracorporeal membrane oxygenation (VA-ECMO)doi:10.1016/j.resuscitation.2018.07.053Supady, AlexWengenmayer, TobiasSchroth, FlorentineDuerschmied, DanielBenk, ChristophBode, ChristophStaudacher, Dawid...