急诊超声定向取栓一例报告:心脏骤停可逆原因处理体外膜氧合插管。

IF 1.9 Q2 EMERGENCY MEDICINE Clinical and Experimental Emergency Medicine Pub Date : 2024-03-01 Epub Date: 2023-11-05 DOI:10.15441/ceem.23.084
Megan Hoffer, Salim Aziz, Keith Boniface, Jenna E Aziz, Ali Pourmand
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引用次数: 0

摘要

体外膜氧合(ECMO)已越来越多地用于急诊科的病人有潜在的可逆原因的心脏骤停。我们提出的情况下,一个年轻的女性患者与院内心脏骤停谁被发现有严重的右心脏紧张点护理超声(POCUS),提示一个巨大的肺栓塞。超声快速床边诊断加快了床边插管和ECMO的启动,作为手术取栓的桥梁,最终患者存活并具有完整的神经功能。随着POCUS的可用性和越来越多的医生接受,它应该被纳入心脏骤停算法,作为治疗血栓性和阻塞性心脏骤停原因的标准。
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A case report of point-of-care ultrasound directed thrombectomy: a reversible cause of cardiac arrest managed with extracorporeal membrane oxygenation cannulation.

Extracorporeal membrane oxygenation (ECMO) has been increasingly employed in the emergency department for patients with a potentially reversible cause of cardiac arrest. We present the case of a young female patient with an in-hospital cardiac arrest who was found to have severe right heart strain on point-of-care ultrasound (POCUS), suggesting a massive pulmonary embolism. Rapid bedside diagnosis using ultrasound expedited bedside cannulation and initiation of ECMO as a bridge to surgical thrombectomy, and ultimately the patient survived with full neurologic function. With its ready availability and increasing acceptance by consultants, POCUS should be incorporated into cardiac arrest algorithms as the standard of care to rule in thrombotic and obstructive causes of cardiac arrest.

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来源期刊
CiteScore
2.80
自引率
10.50%
发文量
59
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