转运体外膜氧合在突发性循环骤停中的应用效果

Q3 Health Professions
V. Teplov, D. M. Prasol, O. Reznik, E. A. Tsebrovskaya, V. V. Kolomoytsev, N. D. Arkhangel’skiу, S. Bagnenko
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引用次数: 0

摘要

的相关性。在难治性循环骤停患者的复苏措施中及时使用体外膜氧合正在成为世界各国的常规抢救做法,使复苏措施的效率可提高30%;然而,这项技术在俄罗斯并不普及,尽管没有体外机械支持,心肺复苏的有效性不超过9%。输注静脉体外膜氧合(ECMO)在住院急诊科院外循环骤停扩展心肺复苏中的应用体会分析。住院急诊科院外循环骤停扩展心肺复苏应用转运ECMO的体会分析。结果和讨论。16例体外心肺复苏中,有效循环恢复率为37.5%(16例中有6例)。在这些病例中,医疗机构外延长心肺复苏时间明显较低,为(50.8±4.2)分钟,而不是(65.6±4.6)分钟。延长心肺复苏无效组肌钙蛋白(1820±164)高于(473±180)ng/l, d -二聚体(17 566±429)高于(13 122±628)µg/l (FEU)。运输ECMO技术用于院外难治性循环骤停患者的体外心肺复苏,允许使用广泛的诊断和治疗程序,包括经皮冠状动脉介入治疗。分析显示,需要减少现场救护队的复苏时间,而不是使用机电设备进行胸部按压。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The results of the use of transport extracorporeal membrane oxygenation in sudden circulatory arrest
Relevance. The timely use of extracorporeal membrane oxygenation within resuscitation measures for patients with refractory circulatory arrest is becoming a routine rescue practice in the world, making it possible to increase the efficiency of resuscitation measures up to 30 %; however, this technology is not widespread in Russia, despite the fact that without extracorporeal mechanical support, the effectiveness of cardiopulmonary resuscitation is no more than 9 %.Objective. Analysis of the experience of using transport venoarterial extracorporeal membrane oxygenation (ECMO) within extended cardiopulmonary resuscitation in case of out-of-hospital circulatory arrest in inpatient emergency department.Methods. Analysis of the experience of using transport ECMO within extended cardiopulmonary resuscitation in case of out-of-hospital circulatory arrest in inpatient emergency department.Results and Discussion. Of the 16 cases of extracorporeal cardiopulmonary resuscitation, effective circulation was restored in 37.5 % (6 out of 16) of cases. In these cases, the duration of extended cardiopulmonary resuscitation outside the medical organization was significantly lower, (50.8 ± 4.2) minutes versus (65.6 ± 4.6) minutes. In the group of patients with ineffective extended cardiopulmonary resuscitation, there was a significant increase in troponin (1820 ± 164) versus (473 ± 180) ng/l and D-dimer (17 566 ± 429) versus (13 122 ± 628) µg/l (FEU).Conclusion. Transport ECMO technology, which is used for extracorporeal cardiopulmonary resuscitation in patients with out-of-hospital refractory circulatory arrest, allows the use of a wide range of diagnostic and therapeutic procedures, including percutaneous coronary interventions. The analysis revealed the need to reduce the duration of resuscitation by ambulance teams on the spot in favor of extended CPR in motion using an electromechanical device for chest compressions.
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CiteScore
0.80
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28
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