Combined Application of Circulatory Assist Devices Following Cardiac Arrest in Patients after Cardiac Surgery-中国期刊网

摘要 ObjectivesToevaluateretrospectivelythepotentialbenefitsofcombinedutilizationofvariousassistedcirculationdevicesincardiacarrestpatientswhodidnotrespondtoconventionalcardiopulmonarycerebralresuscitation(CPCR).MethodsAssistedcirculationdevices,includingemergencycardiopulmonarybypass(ECPB),intra-aorticballoonpump(IABP),andleftventricularassistdevice(LVAD),wereappliedto16adultpatientswhohadcardiacarrest82min-56hafteropenheartsurgeryanddidnotrespondto20minorlongerconventionalCPCR.ECPBwasappliedto2patients,ECPBplusIABPto8patients,ECPBplusIABPandLVADto6patients.ResultsOnepatientrecoveredfullyandonepatientdied.Oftheother14patients,13resumedspontaneouscardiacrhythmandonedidnot;noneofthemcouldbeweanedfromECPB.Furthertreatmentofthe14patientswithcombinationsofassistedcirculationdevicesenabled6patientstorecover.Oneofthe7recoveredpatientsdiedofreoccurringcardiacarrestafter11days;theother6weredischargedingoodconditionandwerefollowedupfor3-49months(mean=22months).Ofthe6dischargedpatientsonesufferedcerebralembolismduringLVADtreatment,resultinginmildlimitationofmobilityoftherightlimbs;theother5nevermanifestedanycentralnervoussystemcomplications.Therewasnolatedeathsgivinga37.5%(6/16)long-termsurvivalrate.ConclusionsECPBcouldeffectivelyreestablishbloodcirculationandoxygensupply,rectifyacidosis,andimproveinternalmilieu.ThecombinedutilizationofECPB,IABP,andLVADreducesthedurationofECPB,improvestheincidenceofrecovery,andoffersbeneficialalternativestorefractorycardiacarrestpatients.

1Ahmed Harhash;Prashant Rao;Karl B.Kern. The Role of Cardiac Catheterization after Cardiac Arrest.心血管疾病,2018-09.
2XU Xiao-feng;CHENG Yun-qing;XIN Shun-hua;LAN Xue-ying;FANG Liang-zheng. Application of clinical pathway combined with drawing method in clinical teaching of cardiac surgery nursing.心血管疾病,2018-03.
3Li Bing,Zhou Ling,Huang He. Effect of sugammadex on the recovery profiles of cardiac patients undergoing non-cardiac surgery.医药卫生,2021-10.
4LI Xiao-ming;HU Xiang-ming;YANG Shi-fang;LU Fen;LIANG Yuan-hong. Clinical application of lung CT in diagnosis and treatment for hospital-acquired pneumonia of cardiac surgery patients.心血管疾病,2014-04.
5YU Tao;JIANG Qin;LIU Sheng-zhong;TAN Jin;XIANG Bo;JIANG Lu;HUANG Ke-li. Surgical treatment for deep sternal wound infection after cardiac surgery.心血管疾病,2016-01.
6. Changes in electrocardiogram and cardiac function after minimally invasive surgery for pectus excavatum.心血管疾病,2013-04.
7Dai Xiao-Min,Wang Yu-Jiao,Zhang Zhen-Chun,Yang Cheng-De,Wu Rui,Zhou Zhen-Yuan,Chen Xiao-Xiang,Sun Xiao-Ning,Wang Chun-Sheng,Ma Li-Li,Jiang Lin-Di,East China Takayasu Arteritis (ECTA) Collaboration Group. Immunosuppression medication and cardiac function improvement treatments might prevent Takayasu arteritis patients with aortitis from receiving cardiac surgery.医药卫生,2021-03.
8Yanan Yu,Miaorong Xie,Jiabao Li,Chenchen Hang,Fei Shao,Chunsheng Li. Overexpression of programmed cell death-1 (PD-1) affects circulatory Th1 and Th2 cells in patients with cardiac arrest in the early period after the return of spontaneous circulation.医药卫生,2022-12.
9XU Xue-jun;ZHANG Chong-jian;LUO Dan-dong;WU Lan. Early adequate enteral feeding in neonates after cardiac surgery improves hospital outcomes.心血管疾病,2018-03.
10孙艳;韩树奎;邓珊明. CARDIAC TOXICITY AFTER RADIATION THERAPY FOR 52 PATIENTS WITH MALIGNANT THYMIC TUMORS.肿瘤,2003-03.

Combined Application of Circulatory Assist Devices Following Cardiac Arrest in Patients after Cardiac Surgery

来源期刊

相关推荐

同分类资源更多

相关关键词

Combined Application of Circulatory Assist Devices Following Cardiac Arrest in Patients after Cardiac Surgery

来源期刊

相关推荐

同分类资源 更多

相关关键词

同分类资源更多