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成人静脉-静脉体外膜肺氧合中的双腔双套管插管——安全插管的临床要点

Bicaval dual lumen cannula in adult veno-venous extracorporeal membrane oxygenation-clinical pearls for safe cannulation.

作者信息

Ngai Chun-Wai, Ng Pauline Yeung, Sin Wai-Ching

机构信息

Adult Intensive Care Unit, Queen Mary Hospital, The University of Hong Kong, Hong Kong, China.

出版信息

J Thorac Dis. 2018 Mar;10(Suppl 5):S624-S628. doi: 10.21037/jtd.2018.02.70.

Abstract

Veno-venous extracorporeal membrane oxygenation (VV-ECMO) has been traditionally delivered with two independent cannulae at different venous insertion sites. The bicaval dual lumen cannula has gained popularity as a cannula for simultaneous venous drainage and reinfusion of blood via the internal jugular vein (IJV). Its insertion requires special attention to details to prevent the occurrence of serious complications. In this review, we discuss different techniques of cannula insertion and tips for troubleshooting.

摘要

传统上,静脉-静脉体外膜肺氧合(VV-ECMO)是通过在不同静脉插入部位使用两个独立的套管来实现的。双腔双腔静脉套管作为一种通过颈内静脉(IJV)同时进行静脉引流和血液再灌注的套管已越来越受欢迎。其插入需要特别注意细节,以防止发生严重并发症。在本综述中,我们讨论了套管插入的不同技术和故障排除技巧。

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