Clinical experience of ECMO cannulation and vein intubation

VernacularTitle:体外膜肺氧合穿刺插管或切开置管的临床体会
Author: Ping HE ; Haidong WANG ; Kang YANG ; Yang QIU ; Wei WU
Publication Type:Journal Article
Keywords: extracorporeal membrane oxygenation; cannulation; intubation; complication
From: Journal of Regional Anatomy and Operative Surgery 2015;(2):172-174,175
CountryChina
Language:Chinese
Abstract: Objective To analyze and summarize the skills and complications of extracorporeal membrane oxygenation( ECMO) cannu-lation and vein intubation. Methods The clinical data of 21 patients of V-A or V-V ECMO in our hospital from January 2009 to July 2014 were analyzed retrospectively. And the techniques of different catheter sites were summarized. Results Three cases were successfully insert-ed catheter by jugular vein puncture with one time. Four patients with ascending aorta intubation died from uncontrolled severe hemorrhage. Eight peripheral catheter site had a small amount of bleeding,with no more bleeding after pressurized bandage. There were no complications like bleeding, hematoma, hemothorax and pneumothorax in the period of ECMO. Conclusion In the process of the ECMO catheter, the standardized operation could reduce the incidence of serious complicaions including bleeding.