Modifying a venovenous extracorporeal membrane oxygenation circuit to reduce recirculation

Modifying a venovenous extracorporeal membrane oxygenation circuit to reduce recirculation
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DOI:
10.1016/s0003-4975(99)01227-8
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发表时间:
2000-01-01
影响因子:
4.6
通讯作者:
Firmin, RK
Firmin, RK
中科院分区:
医学2区
文献类型:
--
作者:
Ichiba, S;Peek, GJ;Firmin, RK

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肺休息是静脉-静脉体外膜肺氧合治疗严重急性呼吸衰竭的主要目标。为了实现这一点,必须有足够的体外流量。在大多数情况下,这可以通过双套管技术来实现。在某些情况下,额外的流量要么无法实现,要么会导致过度的再循环。我们报告了8例患者,我们实现了充分的血液和氧气输送使用三套管技术。5例患者存活(62.5%)。(C)2000年由胸外科医师协会出版。
Lung rest is the primary goal of venovenous extracorporeal membrane oxygenation for severe acute respiratory failure. To achieve this there has to be adequate extracorporeal flow. This can be achieved by a two-cannula technique in most cases. In some cases, extra flow is either not achievable or causes excessive recirculation. We report 8 patients in whom we achieved adequate blood and oxygen delivery using a three-cannula technique. Five patients survived (62.5%). (C) 2000 by The Society of Thoracic Surgeons.