First experiences with a new miniaturised life support system for mobile percutaneous cardiopulmonary bypass

被引：42

作者：

Arlt, Matthias ^{[1
]}

Philipp, Alois ^{[2
]}

Zimmermann, Markus ^{[1
]}

Voelkel, Sabine ^{[1
]}

Hilker, Michael ^{[2
]}

Hobbhahn, Jonny ^{[1
]}

Schmid, Christof ^{[2
]}

机构：

[1] Univ Hosp Regensburg, Dept Anaesthesiol, D-93042 Regensburg, Germany

[2] Univ Hosp Regensburg, Dept Cardiothorac Surg, D-93042 Regensburg, Germany

来源：

RESUSCITATION | 2008年 / 77卷 / 03期

关键词：

emergency medical service; cardiogenic shock; extracorporeal membrane oxygenation; cardiopulmonary bypass; Emergency-MECC;

D O I：

10.1016/j.resuscitation.2008.01.003

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Aim: As a result of healthcare changes, interhospital transfer has become common in the care even of patients with severely deteriorated cardiopulmonary function. This study describes experience with the use of a specially downsized, lightweight extracorporeal circulation system (Emergency-MECC) which enables percutaneous cardiopulmonary bypass support in resistant cases of severe cardiac and cardiopulmonary failure. Methods: Between March 2006 and June 2007, the Emergency-MECC. system, consisting of a centrifugal pump and a membrane oxygenator, was used to facilitate interhospital transfer of five adults. The technique included percutaneous cannulation, femoro-femoral venoarterial (n = 4) and femoro-jugular venovenous (n = 1) life support by extracorporeal membrane oxygenation. Results: Bedside cannulation was uneventful and the extracorporeal circulation support achieved adequate systemic blood flow and oxygen delivery in all cases. Vasopressor support could be immediately reduced and hypoxaemia was treated effectively. During interhospital transfer (air ambulance in three and ground ambulance in two cases), no technical complication occurred. Hospital survival rate was 80%. Conclusions: The Emergency-MECC system is safe, rapid and highly effective in restoring blood flow and oxygen delivery. Interhospital transfer on cardiopulmonary bypass was made possible without extended technical or personnel support. (C) 2008 Elsevier Ireland Ltd. All rights reserved.

引用

页码：345 / 350

页数：6

共 24 条

[1]

BENNETT J, 1992, JECT, V23, P89

[2] INTERHOSPITAL TRANSPORT OF THE PATIENT ON EXTRACORPOREAL CARDIOPULMONARY SUPPORT [J].

BENNETT, JB ;

HILL, JC ;

LONG, WB ;

BRUHN, PS ;

HAUN, MM ;

PARSONS, JA .

ANNALS OF THORACIC SURGERY, 1994, 57 (01) :107-111

[3]

BENNETT JB, 1996, J EXTRA-CORP TECHNOL, V26, P79

[4]

Bergman K A, 2002, Eur J Emerg Med, V9, P233, DOI 10.1097/00063110-200209000-00005

[5] DEFINITIONS FOR SEPSIS AND ORGAN FAILURE AND GUIDELINES FOR THE USE OF INNOVATIVE THERAPIES IN SEPSIS [J].

BONE, RC ;

BALK, RA ;

CERRA, FB ;

DELLINGER, RP ;

FEIN, AM ;

KNAUS, WA ;

SCHEIN, RMH ;

SIBBALD, WJ .

CHEST, 1992, 101 (06) :1644-1655

[6] A review of 100 patients transported on extracorporeal life support [J].

Foley, DS ;

Pranikoff, T ;

Younger, JG ;

Swaniker, F ;

Hemmila, MR ;

Remenapp, RA ;

Copenhaver, W ;

Landis, D ;

Hirschl, RB ;

Bartlett, RH .

ASAIO JOURNAL, 2002, 48 (06) :612-619

[7]

Gibbon J. H.., 1939, SURG GYNEC OBST, V69, P602

[8]

GIBBON J H Jr, 1954, Minn Med, V37, P171

[9] Out-of-center extracorporeal membrane oxygenation for adult cardiogenic shock patients [J].

Huang, SC ;

Chen, YS ;

Chi, NH ;

Hsu, J ;

Wang, CH ;

Yu, HY ;

Chou, NK ;

Ko, WJ ;

Wang, SS ;

Lin, FY .

ARTIFICIAL ORGANS, 2006, 30 (01) :24-28

[10] The logistic organ dysfunction system - A new way to assess organ dysfunction in the intensive care unit [J].

LeGall, JR ;

Klar, J ;

Lemeshow, S ;

Saulnier, F ;

Alberti, C ;

Artigas, A ;

Teres, D .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1996, 276 (10) :802-810

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