Veno-venous extracorporeal membrane oxygenation (VV ECMO) cannula malposition identified with point-of-care ultrasound.

IF 3.4 Q2 Medicine
Taylor Becker, Roger D Struble, Charles Rappaport
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引用次数: 0

Abstract

Background: Point-of-care ultrasound (POCUS) has become a mainstay in the evaluation of critically ill patients in the intensive care unit (ICU). ECMO patients are susceptible to complications during prolonged ICU stay, including cannula malposition, which has deleterious consequences. Although the literature surrounding utility of ultrasound on ECMO patients is expansive, direct comparison between radiographic imaging versus ultrasound for identification of cannula malposition is lacking.

Case presentation: The authors identified four patients with cannula malposition discovered through POCUS that was missed on routine radiographic imaging. Identification and correction of malposition changed their ECMO course.

Conclusion: This case series is the first in literature demonstrating that ultrasound may be superior to radiographic images for ECMO cannula malposition. Further investigation into this subject is warranted.

利用护理点超声波发现静脉体外膜肺氧合(VV ECMO)插管错位。
背景:护理点超声(POCUS)已成为重症监护室(ICU)评估危重病人的主要方法。ECMO 患者在重症监护室长期住院期间很容易出现并发症,包括插管错位,从而造成不良后果。尽管有关超声波在 ECMO 患者身上的作用的文献很多,但在插管错位的识别方面,还缺乏放射成像与超声波的直接比较:作者发现了四名通过 POCUS 发现插管错位的患者,而这些患者在常规放射成像检查中被漏诊。插管错位的识别和纠正改变了他们的 ECMO 疗程:本系列病例是首次在文献中证明超声在 ECMO 插管错位方面可能优于放射影像。有必要对此进行进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Ultrasound Journal
Ultrasound Journal Health Professions-Radiological and Ultrasound Technology
CiteScore
6.80
自引率
2.90%
发文量
45
审稿时长
22 weeks
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