Using Cardiohelp, Quadrox, and Nautilus Extracorporeal Membrane Oxygenators as Vascular Access for Hemodialysis, Continuous Renal Replacement Therapy, and Plasmapheresis: A Brief Technical Report.
Using Cardiohelp, Quadrox, and Nautilus Extracorporeal Membrane Oxygenators as Vascular Access for Hemodialysis, Continuous Renal Replacement Therapy, and Plasmapheresis: A Brief Technical Report.
复制标题
使用心脏螺旋，Quadrox和Nautilus体外膜氧合剂作为血液透析，连续肾脏替代疗法和血浆置换的血管通道：简短的技术报告。
DOI：
10.1097/mat.0000000000002005
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发表时间：
2023-11-01
期刊：
影响因子：
4.2
通讯作者：
Pollema, Travis
中科院分区：
文献类型：
--
作者：
Odish, Mazen F.;Garimella, Pranav S.;Crisostomo, Hermogenes;Yi, Cassia;Owens, Robert L.;Pollema, Travis
关键词：
在急性肾损伤（阿基）和终末期肾病（ESRD）患者中，间歇性血液透析（iHD）和连续性肾脏替代治疗（CRRT）沿着体外膜肺氧合（ECMO）的使用非常常见。在本技术报告中，我们描述了使用ECMO回路代替单独透析导管安全有效地进行这些透析治疗的方法。具体而言，我们详细描述了如何将这些肾脏替代治疗模式连接到Quadrox、Nautilus和HLS（联合氧合器和泵）氧合器。透析（iHD或CRRT）入口连接到氧合器后鲁尔锁，而回流连接到氧合器前鲁尔锁，两者均带有双腔猪尾。我们还讨论了与ECMO和iHD或CRRT联合进行血浆置换的技术方面。最后，我们强调了一个事实，即报告的技术不需要修改ECMO套管/管路，这有助于最大限度地提高安全性。
The use of intermittent hemodialysis (iHD), and continuous renal replacement therapy (CRRT), along with extracorporeal membrane oxygenation (ECMO) in patients with acute kidney injury (AKI) and end-stage renal disease (ESRD) is very common. In this technical report, we describe the methods to perform these dialytic therapies safely and effectively using the ECMO circuit in lieu of a separate dialysis catheter. Specifically, we describe in detail how to connect these kidney replacement therapy modalities to a Quadrox, Nautilus, and Cardiohelp HLS (combined oxygenator and pump) oxygenator. The dialysis (iHD or CRRT) inlet is attached to the post-oxygenators Luer-Lock, whereas the return is attached to the pre-oxygenator Luer-Lock, both with a dual lumen pigtail. We also discuss the technical aspects of performing plasmapheresis in conjunction with ECMO and iHD or CRRT. Finally, we highlight the fact that the reported technique does not require modifying the ECMO cannulas/tubing which helps maximize safety.