Extracorporeal Membrane Oxygenation With Subclavian Artery Cannulation in Awake Patients With Pulmonary Hypertension

被引:31
作者
Biscotti, Mauer [1 ]
Vail, Emily [2 ]
Cook, Keith E. [3 ]
Kachulis, Bessie [2 ]
Rosenzweig, Erika B. [4 ]
Bacchetta, Matthew [1 ]
机构
[1] Columbia Univ, Med Ctr, New York Presbyterian Hosp, Dept Cardiothorac Surg, New York, NY 10032 USA
[2] Columbia Univ, Med Ctr, New York Presbyterian Hosp, Dept Anesthesiol, New York, NY 10032 USA
[3] Carnegie Mellon Univ, Dept Biomed Engn, Pittsburgh, PA 15213 USA
[4] Columbia Univ, Med Ctr, Dept Pediat Cardiol, New York, NY 10032 USA
关键词
extracorporeal membrane oxygenation; monitored anesthesia care; AWAITING LUNG TRANSPLANTATION; RIGHT HEART-FAILURE; BRIDGE; IMPACT;
D O I
10.1097/MAT.0000000000000123
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
Pulmonary hypertension (PH) is a challenging disease process to manage. Respiratory and hemodynamic changes that accompany general anesthesia lead to a significant risk of cardiovascular collapse. Certain cases of decompensated PH require extracorporeal membrane oxygenation (ECMO) support as either a bridge to lung transplantation or bridge to recovery. Performing ECMO cannulation without intubation or general anesthesia in these patients may be safer given the severity of their underlying disease process. We present three cases of upper body ECMO cannulation performed on patients with pulmonary hypertension while awake and without mechanical ventilation.
引用
收藏
页码:748 / 750
页数:3
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