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静脉-静脉体外生命支持回路更换:技巧与陷阱。

Venovenous extracorporeal life support circuit exchange: Tips and pitfalls.

机构信息

Department of Cardiovascular Surgery, Institut Cardiovascular, Hospital Clìnic, 170th Villarroel St., 08036 Barcelona, Spain.

Cardiovascular Surgery Department. Hospital Clínic Barcelona, Spain.

出版信息

Multimed Man Cardiothorac Surg. 2022 Feb 17;2022. doi: 10.1510/mmcts.2022.006.

DOI:10.1510/mmcts.2022.006
PMID:35224898
Abstract

Extracorporeal life support is a well-known therapy for acute respiratory failure. Its use has increased exponentially in recent years, even more since the beginning of the SARS-CoV-2 pandemic. Patients with COVID-19 may need long-term extracorporeal life support runs. They also suffer coagulation derangements that cause a prothrombotic state. Both situations may increase the need for exchanges of extracorporeal life support circuits. Extracorporeal life support circuit exchange should be performed as quickly and as safely as possible because patients may be completely dependent on it.

摘要

体外生命支持是治疗急性呼吸衰竭的一种知名疗法。近年来,其使用呈指数级增长,自 SARS-CoV-2 大流行开始以来更是如此。COVID-19 患者可能需要长期进行体外生命支持治疗。他们还会出现导致血栓前状态的凝血功能紊乱。这两种情况都可能增加体外生命支持回路交换的需求。应尽快且安全地进行体外生命支持回路交换,因为患者可能完全依赖它。

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