Extracorporeal membrane oxygenation support for inter-hospital transport of potential cardiac death donors
10.3760/cma.j.issn.0254-1785.2013.12.009
- VernacularTitle:体外膜肺氧合用于潜在心脏死亡供者的院间转运
- Author:
Huan HE
;
Peng LI
;
Weifeng TU
- Publication Type:Journal Article
- Keywords:
Membrane oxygenation;
Cardiac death;
Donors;
Inter-hospital transport
- From:
Chinese Journal of Organ Transplantation
2013;34(12):737-739
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss Extracorporeal Membrane Oxygenation(ECMO) management method and effect during inter-hospital transport of potential cardiac death donors after cardiac death (DCD).Methods 8 potential donors after cardiac death with brain injury were supported by ECMO for inter-hospital transport.All donors were inserted Medtronic overall cannula into one side femoral artery and venous.The position of catheters were guided by ultrasound.The front-end of venous catheter located in the junction of atrium and inferior vena cava,meanwhile the front-end of artery catheter was below renal artery.100 IU/kg heparin was injected before inserting cannulas.Flow of ECMO maintained at 2.0～3.0 L/min,and oxygen flow was 2～3 L/min during ECMO supporting.When hemodynamics of potential donors were stable,patients were moved into ambulance with ECMO for inter-hospital transport.Results A total of 8 ECMO transports were performed for central circulatory collapse caused brain injury.Patients were previously cannulated and on ECMO prior to transport and transported a distance of more than 100 kilometer from our institution by ambulance.ECMO running times were 120 min,and operation process circulatory stable.Conclusion ECMO can ensure inter-hospital transport of potential donors after cardiac death safety.
