体外膜肺氧合的子宫外产时手术模拟。

The simulation of an ex utero intrapartum procedure to extracorporeal membrane oxygenation.

机构信息

Washington Hospital Center, MedStar Health, Washington, DC 20010, USA.

出版信息

J Pediatr Surg. 2011 Feb;46(2):395-8. doi: 10.1016/j.jpedsurg.2010.10.007.

DOI:10.1016/j.jpedsurg.2010.10.007

PMID:21292095

Abstract

We report a case of using simulation to aid in the performance of ex utero intrapartum treatment (EXIT) procedure to extracorporeal membrane oxygenation (ECMO). A primigravid with a fetus who was diagnosed with hypoplastic left heart syndrome was scheduled for an EXIT to ECMO procedure to be done by members of her obstetrical and neonatal teams. It would be the first time any of the members of the 2 teams would work together. Simulation was used to allow all involved parties to experience the procedure before the live operation. In addition, the simulation enabled the interdisciplinary teams to work with each other, identify possible complications, and further plan the coordination during the event. The EXIT to ECMO surgery was completed successfully. The use of low-fidelity, cost-effective simulation during a surgical rehearsal can give a surgical team critical advantage when performing a rare and/or complex procedure.

摘要

我们报告了一例使用模拟来辅助进行子宫外产时治疗（EXIT）程序以进行体外膜氧合（ECMO）的病例。一位初产妇的胎儿被诊断为左心发育不全综合征，计划由她的产科和新生儿团队成员进行 EXIT 到 ECMO 程序。这将是这两个团队的成员第一次合作。模拟用于在实际手术之前让所有相关方体验该程序。此外，模拟使跨学科团队能够相互协作，发现可能出现的并发症，并进一步计划手术过程中的协调。EXIT 到 ECMO 手术成功完成。在手术排练中使用低保真、具有成本效益的模拟可以为执行罕见和/或复杂手术的外科团队提供关键优势。