用于肺移植术前、术中和术后管理的 ProtekDuo 插管。

IF 1.1 Q3 ANESTHESIOLOGY

Annals of Cardiac Anaesthesia Pub Date : 2024-10-01 Epub Date: 2024-10-04 DOI:10.4103/aca.aca_24_24

William A Ricks, Mindaugas Rackauskas, William B Weir, Amir M Emtiazjoo, Biplab K Saha, Cynthia J Gries, Marc O Maybauer

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引用次数: 0

摘要

摘要：我们接诊了一名 61 岁的患者，他患有肺动脉高压、急性呼吸衰竭和急性严重右心室（RV）功能障碍。术前插入 ProtekDuo® 用于体外膜氧合（ECMO），并通过静脉肺（VP）ECMO（dl）V-P ECMO 配置保护右心室。术中，它为双侧正位肺移植（BOLT）的静脉-动脉（VA）ECMO提供静脉引流，采用（dl）VP-/AO配置。术后，患者仍使用（dl）V-P ECMO 支持 RV，5 天后因轻度 RV 功能障碍而停用。这是首次描述 ProtekDuo® 以 (dl) V-P 至 (dl) VP-/AO 至 (dl) V-P 配置用于 BOLT 的整个围手术期。

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ProtekDuo Cannula for Pre-, Intra-, and Postoperative Lung Transplantation Management.

Abstract: We present a 61-year-old patient with pulmonary hypertension, acute respiratory failure, and acute severe right ventricular (RV) dysfunction. Preoperatively, a ProtekDuo® was inserted for extracorporeal membrane oxygenation (ECMO) and RV protection with venopulmonary (VP) ECMO in (dl) V-P ECMO configuration. Intraoperatively, it provided venous drainage for venoarterial (VA) ECMO in (dl) VP-/AO configuration for bilateral orthotopic lung transplantation (BOLT). Postoperatively, the patient remained on (dl) V-P ECMO for RV support and was decannulated with mild RV dysfunction after 5 days. This is the first description of the ProtekDuo® used in (dl) V-P to (dl) VP-/AO to (dl) V-P configuration for the entire perioperative period of BOLT.

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来源期刊

Annals of Cardiac Anaesthesia ANESTHESIOLOGY-

CiteScore

1.60

自引率

0.00%

发文量

147

审稿时长

26 weeks

期刊介绍： Annals of Cardiac Anaesthesia (ACA) is the official journal of the Indian Association of Cardiovascular Thoracic Anaesthesiologists. The journal is indexed with PubMed/MEDLINE, Excerpta Medica/EMBASE, IndMed and MedInd. The journal’s full text is online at www.annals.in. With the aim of faster and better dissemination of knowledge, we will be publishing articles ‘Ahead of Print’ immediately on acceptance. In addition, the journal would allow free access (Open Access) to its contents, which is likely to attract more readers and citations to articles published in ACA. Authors do not have to pay for submission, processing or publication of articles in ACA.