双腔静脉双腔插管概述。
Overview of the bicaval dual lumen cannula.
作者信息
Bazan Vanessa Marie, Taylor Evan Michael, Gunn Tyler Michael, Zwischenberger Joseph Bertram
机构信息
University of Kentucky, College of Medicine, Lexington, KY USA.
Graduate Medical Education, Division of Cardiothoracic Surgery, Lexington, KY USA.
出版信息
Indian J Thorac Cardiovasc Surg. 2021 Apr;37(Suppl 2):232-240. doi: 10.1007/s12055-020-00932-1. Epub 2020 Mar 31.
Abstract
Veno-venous extracorporeal membrane oxygenation (VV-ECMO) is a form of extracorporeal life support that provides total gas exchange (CO2 and O2) within the central venous circulation. The bicaval dual lumen cannula (DLC) is an option for patients requiring respiratory support with VV-ECMO. The catheter is inserted via the internal jugular vein into the superior and inferior vena cava, drains blood into the ECMO circuit for gas exchange, and then returns arterialized blood to the right heart for circulation. The DLC facilitates physical therapy, ambulation, and early extubation. This chapter will review the uses, advantages, and unique complications of the DLC.
摘要
静脉-静脉体外膜肺氧合（VV-ECMO）是一种体外生命支持形式，可在中心静脉循环内提供全气体交换（二氧化碳和氧气）。双腔双腔静脉插管（DLC）是需要VV-ECMO进行呼吸支持的患者的一种选择。该导管通过颈内静脉插入上、下腔静脉，将血液引流至ECMO回路进行气体交换，然后将动脉化血液返回右心进行循环。DLC便于进行物理治疗、下床活动和早期拔管。本章将回顾DLC的用途、优点和独特并发症。
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