Nursing care of patients with extracorporeal membrane oxygenation for postoperative support in heart transplantation

VernacularTitle:心脏移植术后体外膜肺氧合支持治疗的监护
Author: Rong WU ; Li SHI ; Yanyan WEI ; Jialin LIU
Publication Type:Journal Article
Keywords: Heart Transplantation; Extracorporeal Circulation; Nursing Care
From: Chinese Journal of Nursing 2010;45(1):17-19
CountryChina
Language:Chinese
Abstract: This paper summarizes the nursing care of patients with extracorporeal membrane oxygenation (ECMO) for postoperative support in heart transplantation. Ten patients suffered from acute graft failure after heart transplantation and applied the extracorporeal membrane oxygenation for postoperative support. All the patients were monitored on electrocardiogram, hemodynamics, body temperature, urine volume, drainage volume, activated coagulation time, liver and renal function, free hemoglobin and colloid osmotic pressure. Nine survivals were discharged with recovery and one patient died. The duration of ECMO support ranged from 40 to 824 hours. When the heart function showed recovered based on bedside UCG. the ECMO could be weaned off uneventfully after 100 hours and the long-term clinical outcomes were good. It is suggested that close monitoring of heart & lung function during ECMO support, proper adjustment of ventilator index, intensive lung & respiratory tract care, prevention of arrhythmia, bleeding, embolism, infections, bedsores and other complications may decrease the mortality of severe patients with heart transplantation.