体外膜氧合系统预组装和储存的临床实践。

IF 3.1 3区 医学 Q2 ENGINEERING, BIOMEDICAL
ASAIO Journal Pub Date : 2024-11-01 Epub Date: 2024-05-28 DOI:10.1097/MAT.0000000000002232
Patrick Winnersbach, Alexander Wallraff, Marlene Schadow, Rolf Rossaint, Rüdger Kopp, Christian Bleilevens, Lasse J Strudthoff
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引用次数: 0

摘要

根据体外生命支持组织(ELSO)的指导方针,在特定条件下,预组装和已启动的体外膜肺氧合(ECMO)系统可安全存放长达 30 天。本研究详细概述了现有的预组装做法。我们对德国 ECMO 中心的首席灌注医师进行了匿名在线调查。在总共 83 个 ECMO 中心中,有 44 个(53%)完成了调查。33%的中心没有预组装 ECMO 系统。77%(n = 34)的中心称其随时可提供预组装的 ECMO 系统(30% 干式预组装/20% 湿式预组装/27% 带循环的湿式预组装)。一半(50%)的参与中心表示已制定标准操作程序(SOP),大多数(57%)的首席灌注医师表示需要循证 SOP。88% 的科室规定了湿性预组装 ECMO 系统的最长储存时间。湿预组装系统平均在 20 天后被丢弃,低于 ELSO 规定的 30 天安全期限。总之,这项调查显示,在提供预组装 ECMO 系统的实践方面,存在着不同的方法。因此,需要为 ECMO 系统的预组装和储存制定以证据为基础的 SOP,从而确定卫生标准、定期培训和可靠的最长储存期。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical Practice of Pre-Assembling and Storing of Extracorporeal Membrane Oxygenation Systems.

According to the Extracorporeal Life Support Organization (ELSO) guidelines, pre-assembled and already primed extracorporeal membrane oxygenation (ECMO) systems can be safely stored for up to 30 days under specific conditions. This study gives a detailed overview of existing pre-assembly practices. An anonymous online survey was conducted among chief perfusionists at German ECMO centers. Forty-four of a total of 83 ECMO centers (53%) completed the survey. Thirty-three percent do not preassemble ECMO systems. Seventy-seven percent (n = 34) reported having preassembled ECMO systems readily available (30% dry preassembly/20% wet preassembly/27% wet preassembly with circulation). Half of the participating centers (50%) reported having a standard operating procedure (SOP) and the majority (57%) of chief perfusionists expressed a need for an evidence-based SOP. A maximum storage time for wet preassembled ECMO systems is established in 88% of departments. On average, wet preassembled systems are discarded after 20 days, which is below the ELSO's safe limit of 30 days. Overall, this survey reveals a heterogeneous approach regarding the practice of provisioning preassembled ECMO systems. The demand for an evidence-based SOP for the preassembly and storing of ECMO systems becomes evident, necessitating the determination of hygienic standards, regular training, and a reliable maximum storage period.

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来源期刊
ASAIO Journal
ASAIO Journal 医学-工程:生物医学
CiteScore
6.60
自引率
7.10%
发文量
651
审稿时长
4-8 weeks
期刊介绍: ASAIO Journal is in the forefront of artificial organ research and development. On the cutting edge of innovative technology, it features peer-reviewed articles of the highest quality that describe research, development, the most recent advances in the design of artificial organ devices and findings from initial testing. Bimonthly, the ASAIO Journal features state-of-the-art investigations, laboratory and clinical trials, and discussions and opinions from experts around the world. The official publication of the American Society for Artificial Internal Organs.
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