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量化再循环作为经胸超声心动图辅助优化双腔体外生命支持的方法。

Quantification of recirculation as an adjuvant to transthoracic echocardiography for optimization of dual-lumen extracorporeal life support.

机构信息

Department of Cardiothoracic Surgery, Maastricht University Medical Centre, P. Debeyelaan 25, P.O. Box 5800, 6202 AZ, Maastricht, The Netherlands.

出版信息

Intensive Care Med. 2012 May;38(5):906-9. doi: 10.1007/s00134-012-2534-z. Epub 2012 Mar 29.

DOI:10.1007/s00134-012-2534-z
PMID:22456771
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3332356/
Abstract

PURPOSE

Proper cannula positioning in single site veno-venous extracorporeal life support (vv-ELS) is cumbersome and necessitates image guidance to obtain a safe and stable position within the heart and the caval veins. Importantly, image-guided cannula positioning alone is not sufficient, as possible recirculation cannot be quantified.

METHODS AND RESULTS

We present an ultrasound dilution technique allowing quantification of recirculation for optimizing vv-ELS.

CONCLUSION

We suggest quantification of recirculation in addition to image guidance to provide optimal vv-ELS.

摘要

目的

单部位静脉-静脉体外生命支持（vv-ELS）中，正确放置插管比较繁琐，需要影像学引导以在心脏和腔静脉内获得安全稳定的位置。重要的是，仅影像学引导插管定位是不够的，因为无法量化可能的再循环。

方法和结果

我们提出了一种超声稀释技术，可用于量化再循环，以优化 vv-ELS。

结论

我们建议除了影像学引导外，还应量化再循环，以提供最佳的 vv-ELS。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d86/3332356/e0341a819e5e/134_2012_2534_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d86/3332356/e0341a819e5e/134_2012_2534_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d86/3332356/e0341a819e5e/134_2012_2534_Fig1_HTML.jpg

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