Clinical application of extracorporeal membrane oxygenation support for criti-cally ill patients after heart surgery
Lu An-dong
Guo Jian
Miao Li-xia
Ming Kai
Li Zi-lin
Dong Shu-qiang
Dong Yi-fei
Abstract：Objective To summarize and evaluate the clinical effect of extracorporeal membrane oxygenation support for criti-cally ill patients after heart surgery. Methods 8 patients with cardiopulmonary functional failure after heart surgery received ECMO support from March 2014 to May 2016 ,and 6 patients ( support time>8 hours) were retrospectively analyzed. Results Low cardiac output syndrome occurred in 5 patients, and acute respiratory failure happened in 1 patient, who failed to respond to routine medical therapy. All patients received V-A ECMO. The mean age was (51.8±10.4)years.The aver age support time was(109.8±27.1) hours. Three ( 50%) patients successfully weaned from ECMO and 1 ( 16,7%) was discharged from hospital. Complications:renal failure with continuous renal replacement therapy was seen in 4 cases,4 cases had hemorrhage( 2 cases of catheter hemorrhage and 2 cases of hemo-thorax) and 1 case of infection after ECMO. Conclusion ECMO is an life supporting approach for patients with reversible cardiopul-monary failure after heart surgery. The keys to optimal results include earlier use of ECMO, the application of lung protective ventilation strategy,prevention and control of bleeding.
Keywords：Extracorporeal membrane oxygenationPost-heart surgeryLow cardiac output syndromContinuous renal re-placement therapy
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 100-104 )