First experiences with a new miniaturised life support system for mobile percutaneous cardiopulmonary bypass
First experiences with a new miniaturised life support system for mobile percutaneous cardiopulmonary bypass
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DOI：
10.1016/j.resuscitation.2008.01.003
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发表时间：
2008-06-01
期刊：
影响因子：
6.5
通讯作者：
Schmid, Christof
中科院分区：
文献类型：
--
作者：
Arlt, Matthias;Philipp, Alois;Schmid, Christof
目的：由于医疗保健的变化，即使是心肺功能严重恶化的患者，医院间的转移也变得很常见。本研究描述了使用一个特别缩小，轻便的体外循环系统（紧急-MECC），使经皮心肺转流支持在抵抗严重的心脏和心肺functions.Methods的情况下的经验：2006年3月至2007年6月，紧急-MECC。一个由离心泵和膜式氧合器组成的系统被用于促进五名成年人的医院间转移。方法：经皮穿刺置管，股-股静脉-动脉（n = 4）和股-颈静脉-静脉（n = 1）体外膜肺氧合生命支持。结果：床边置管成功，体外循环支持均获得充分的体循环血流量和氧供。可立即减少血管加压素支持，低氧血症得到有效治疗。在医院间转移（空中救护车在三个和地面救护车在两个案件），没有技术并发症发生。结论：急诊MECC系统安全、快速、有效地恢复了血供和氧供。在没有技术或人员支持的情况下，可以进行心肺转流术的院间转移。(C)2008爱思唯尔爱尔兰有限公司保留所有权利。
Aim: As a result of healthcare changes, interhospital transfer has become common in the care even of patients with severely deteriorated cardiopulmonary function. This study describes experience with the use of a specially downsized, lightweight extracorporeal circulation system (Emergency-MECC) which enables percutaneous cardiopulmonary bypass support in resistant cases of severe cardiac and cardiopulmonary failure.Methods: Between March 2006 and June 2007, the Emergency-MECC. system, consisting of a centrifugal pump and a membrane oxygenator, was used to facilitate interhospital transfer of five adults. The technique included percutaneous cannulation, femoro-femoral venoarterial (n = 4) and femoro-jugular venovenous (n = 1) life support by extracorporeal membrane oxygenation.Results: Bedside cannulation was uneventful and the extracorporeal circulation support achieved adequate systemic blood flow and oxygen delivery in all cases. Vasopressor support could be immediately reduced and hypoxaemia was treated effectively. During interhospital transfer (air ambulance in three and ground ambulance in two cases), no technical complication occurred. Hospital survival rate was 80%.Conclusions: The Emergency-MECC system is safe, rapid and highly effective in restoring blood flow and oxygen delivery. Interhospital transfer on cardiopulmonary bypass was made possible without extended technical or personnel support. (C) 2008 Elsevier Ireland Ltd. All rights reserved.