Clinical application of extracorporeal membrane oxygenation circuit in place of cardiopulmonary bypass
- VernacularTitle:体外膜肺装置替代体外循环的临床应用
- Author:
Yan LI
;
Wen ZENG
;
Lingbo SUN
;
Jie HAN
;
Chunlei XU
;
Haibo ZHANG
;
Jiangang WANG
;
Feng GAO
;
Yixin JIA
;
Xu MENG
- Publication Type:Journal Article
- Keywords:
Cardiopulmonary failure;
Cardiopulmonary bypass;
Extracorporeal membrane oxygenation
- From:
Clinical Medicine of China
2008;24(5):478-480
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the clinical experiences in setting up cardiopulmonary bypass(CPB)using extracorporeal membrane oxygenation(ECMO)circuit and turning CPB to ECMO after open heart operations in 16 cases.Methods In the group of 16 cases,the annulations were via femoral vessels:by Medtronic ECMO machine and membrane oxygenator was used in all patients.All patients accepted A-V bypass.Results CPB was running smoothly during the operations,and converted to ECMO after the surgeries without complications,and the rate of ECMO withdraw was 93.75%.Mortality was 18.5%,and 81.25%of patients were discharged.Conclusion ECMO is an effective device for cardio and pulmonary support.Many patients with severe cardiac diseases and marginal cardiac function will need mechanical support after surgery.For these patients,setting up CPB using ECMO circuit during the operation and converting it to ECMO after surgery can prevent patients from additional exposure to a standard CPB circuitry.It helps decrease the inflammatory response,avoid dilution of patient's volume of cells and factors,and reduce expenses.
