Philipp Alois, Arlt Matthias, Amann Matthias, Lunz Dirk, Müller Thomas, Hilker Michael, Graf Bernhard, Schmid Christof
Department of Cardiothoracic Surgery, University Medical Center, 93053 Regensburg, Germany.
Interact Cardiovasc Thorac Surg. 2011 Jun;12(6):978-81. doi: 10.1510/icvts.2010.264630. Epub 2011 Mar 8.
In patients with severe cardiopulmonary failure extracorporeal assist devices are to support patients during resuscitation, for transportation, until organ recovery, and as bridge to further therapeutic modalities. We report on our first experience with the new Cardiohelp system for interhospital transfer of cardiopulmonarily compromised patients. The Cardiohelp system was used for transportation and in-house treatment in six male patients with a mean age of 41±17 years. Five patients suffered respiratory failure; one patient with acute myocardial infarction was in profound cardiogenic shock. Accordingly, the Cardiohelp system was implanted as a venovenous extracorporeal membrane oxygenation (ECMO) in five patients and as a venoarterial system in one patient. The preECMO ventilation time was 0.5-4 days. The patients were transported to our institution by car (n=1) or helicopter (n=5) over a distance of 80-5850 km. The subsequent in-house ECMO support was continued with the Cardiohelp and lasted for 5-13 days. PostECMO ventilation was one to 25 days. A 100% survival was achieved. The portable Cardiohelp system allows location-independent stabilization of cardiopulmonary compromised patients with consecutive interhospital transfer and in-house treatment. The integrated sensors, which register arterial and venous line pressure, blood temperature, hemoglobin as well as SvO(2), greatly alleviate its management and considerably increase safety.
在严重心肺功能衰竭患者中，体外辅助设备可在复苏期间、转运过程中、直至器官恢复前以及作为过渡到进一步治疗方式的桥梁来支持患者。我们报告了新型Cardiohelp系统用于心肺功能受损患者院际转运的首次经验。Cardiohelp系统用于6名平均年龄为41±17岁男性患者的转运和院内治疗。5名患者患有呼吸衰竭；1名急性心肌梗死患者处于严重的心源性休克状态。相应地，5名患者植入Cardiohelp系统作为静脉-静脉体外膜肺氧合（ECMO），1名患者作为静脉-动脉系统。ECMO前通气时间为0.5 - 4天。患者通过汽车（n = 1）或直升机（n = 5）转运至我院，转运距离为80 - 5850公里。随后使用Cardiohelp系统在院内继续进行ECMO支持，持续5 - 13天。ECMO后通气时间为1至25天。患者全部存活。便携式Cardiohelp系统可实现对心肺功能受损患者进行独立于地点的稳定处理，并可进行连续的院际转运和院内治疗。集成传感器可记录动脉和静脉管路压力、血液温度、血红蛋白以及SvO₂，极大地减轻了管理负担并显著提高了安全性。
