Ichiba S, Peek G J, Sosnowski A W, Brennan K J, Firmin R K
Heart Link ECMO Centre, Department of Cardiothoracic Surgery, Glenfield Hospital, Leicester, United Kingdom.
Ann Thorac Surg. 2000 Jan;69(1):298-9. doi: 10.1016/s0003-4975(99)01227-8.
Lung rest is the primary goal of venovenous extracorporeal membrane oxygenation for severe acute respiratory failure. To achieve this there has to be adequate extracorporeal flow. This can be achieved by a two-cannula technique in most cases. In some cases, extra flow is either not achievable or causes excessive recirculation. We report 8 patients in whom we achieved adequate blood and oxygen delivery using a three-cannula technique. Five patients survived (62.5%).
对于严重急性呼吸衰竭，肺休息是静脉-静脉体外膜肺氧合的主要目标。要实现这一目标，必须有足够的体外循环血流量。在大多数情况下，这可以通过双套管技术实现。在某些情况下，额外的血流量要么无法实现，要么会导致过度再循环。我们报告了8例使用三套管技术实现了足够的血液和氧气输送的患者。5例患者存活（62.5%）。
