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静脉-动脉-静脉(V-AV)体外膜肺氧合(ECMO)的撤机评估。

Weaning assessment of veno-arteriovenous (V-AV) extracorporeal membrane oxygenation (ECMO).

作者信息

Heymer Johannes, Hein Anna, Ott Matthias, Schilling Tobias, Räpple Daniel

机构信息

Klinikum Stuttgart, Stuttgart, Germany.

出版信息

Intensive Care Med Exp. 2023 Aug 1;11(1):47. doi: 10.1186/s40635-023-00538-y.

DOI:10.1186/s40635-023-00538-y
PMID:37524890
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10390379/
Abstract

Currently, there is a lack of methods for simultaneous assessment of readiness for decannulation of the veno-venous (V-V) and veno-arterial (V-A) components during veno-arteriovenous (V-AV) extracorporal membrane oxygenation (ECMO) support. We describe a novel approach using a simultaneous off-sweep and controlled backflow test to assess readiness for decannulation from V-AV ECMO. This method needs testing in future clinical trials.

摘要

目前,在静脉-动脉体外膜肺氧合(ECMO)支持期间,缺乏同时评估静脉-静脉(V-V)和静脉-动脉(V-A)组件脱管准备情况的方法。我们描述了一种使用同步非连续和控制性逆流测试来评估从静脉-动脉体外膜肺氧合(V-AV ECMO)脱管准备情况的新方法。这种方法需要在未来的临床试验中进行测试。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b03/10390379/45984bba4e90/40635_2023_538_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b03/10390379/45984bba4e90/40635_2023_538_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b03/10390379/45984bba4e90/40635_2023_538_Fig1_HTML.jpg

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引用本文的文献

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Intensive Care Med Exp. 2024 Feb 16;12(1):13. doi: 10.1186/s40635-024-00599-7.

本文引用的文献

1
Controlled flow diversion in hybrid venoarterial-venous extracorporeal membrane oxygenation.混合动静脉-静脉体外膜肺氧合中的可控血流分流
Interact Cardiovasc Thorac Surg. 2018 Jan 1;26(1):112-118. doi: 10.1093/icvts/ivx259.
2
Creating a Controlled Arterio-Venous Shunt by Reversing the Extracorporeal Membrane Oxygenation Blood Flow: A Strategy for Weaning Patients Off Veno-Arterial Extracorporeal Membrane Oxygenation.通过逆转体外膜肺氧合血流创建可控动静脉分流:一种使患者撤离静脉-动脉体外膜肺氧合的策略。
Pediatr Crit Care Med. 2017 Oct;18(10):973-976. doi: 10.1097/PCC.0000000000001274.