体外膜肺氧合中的血管通路
Vascular access in ECMO.
作者信息
Pooboni Suneel Kumar, Gulla Krishna Mohan
机构信息
Department of Pediatric Critical Care Medicine, Mediclinic Hospital, Dubai Healthcare City, Dubai, UAE.
Division of Pediatric Emergency and Critical Care Department of Pediatrics PGIMER, Chandigarh-12, India.
出版信息
Indian J Thorac Cardiovasc Surg. 2021 Apr;37(Suppl 2):221-231. doi: 10.1007/s12055-020-00999-w. Epub 2020 Sep 17.
Abstract
In critically ill patients, deserving extracorporeal membrane oxygenation (ECMO), choosing the right pattern of cannulation such as veno-venous (VV), veno-arterial (VA), veno-veno-arterial (VVA), and central; selecting the appropriate size cannulae; and good cannulation techniques are all pre-requisites for the successful outcome of ECMO. We are describing the selection criteria for choosing appropriate size cannulae, cannulation configurations, available cannulae, and possible complications. A brief note on anticoagulation was added.
摘要
在需要体外膜肺氧合（ECMO）的重症患者中，选择正确的插管方式，如静脉 - 静脉（VV）、静脉 - 动脉（VA）、静脉 - 静脉 - 动脉（VVA）和中心插管；选择合适尺寸的插管；以及良好的插管技术，都是ECMO成功的先决条件。我们将描述选择合适尺寸插管的标准、插管配置、可用插管以及可能的并发症。还添加了关于抗凝的简短说明。
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