Establishing dog model of extracorporeal membrane oxygenation via femoral arteriovenous can-nulation

doi:10.3877/cma.j.issn.1674-0793.2016.01.002

Abstract

Abstract:

Objective

To investigate the best catheterization method and the effect of semi-open technology in a dog extracorporeal membrane oxygenation (ECMO) model.

Methods

Central venous cath-eterizations were placed via right internal jugular vein, and artery piezometer tubes were placed in radial artery to connect multifunctional electrocardiograph monitor. All dogs underwent ECMO support through semi-open technology via femoral artery and femoral vein cannulation. The success rate, time expenditure, blood loss and incidence of complications were analyzed.

Results

Nineteen of the 20 animals were per-formed successfully. The mean duration of puncture and cannulation was (41±18) min, the blood loss was (16±8) ml, and postoperative hemorrhage occurred in 3 cases (15%).

Conclusion

The femoral artery and vein puncture under direct vision via semi-open technology is a safe and effective method, also a rela-tively time saving method.

Key words: Extracorporeal membrane oxygenation, Catheterization technology, Femoral artery and vein, Dog

Yanping Zhu, Lu Cao, Xiaoguang Hu, Li Tong, Haochen Wang, Changjie Cai. Establishing dog model of extracorporeal membrane oxygenation via femoral arteriovenous can-nulation[J]. Chinese Archives of General Surgery(Electronic Edition), 2016, 10(01): 19-23.

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Figures/Tables 7

References 12

1	胡坚,泮辉.体外膜肺氧合的临床应用及展望[J/CD].中华危重症医学杂志:电子版, 2011, 4(4): 208-214.
2	Ventetuolo CE,Muratore CS. Extracorporeal life support in criti-cally ill adults[J]. Am J Respir Crit Care Med, 2014, 190(5): 497-508.
3	Bartlett RH,Roloff DW,Cornell RG, et al. Extracorporeal circula-tion in neonatal respiratory failure: a prospective randomized study[J]. Pediatrics, 1985, 76(4): 479-487.
4	Beckmann A,Benk C,Beyersdorf F, et al. Position article for the use of extracorporeal life support in adult patients[J]. Eur J Car-diothorac Surg, 2011, 40(3): 676-680.
5	Hansell DR. Extracorporeal membrane oxygenation for perinatal and pediatric patients[J]. Respir Care, 2003, 48(4): 352-362, 363-366.
6	Peek GJ,Mugford M,Tiruvoipati R, et al. Efficacy and economic assessment of conventional ventilatory support versus extracorpo-real membrane oxygenation for severe adult respiratory failure (CESAR): a multicentre randomised controlled trial[J]. Lancet, 2009, 374(9698): 1351-1363.
7	龙村. ECMO：体外膜肺氧合[M].北京:人民卫生出版社, 2010.
8	SELDINGER SI. Catheter replacement of the needle in percutane-ous arteriography. A new technique[J]. Acta radiol, 1953, 39(5):368-376.
9	邹英华,李麟荪,贺能树.介入放射学——基础与方法[M].北京:人民卫生出版社, 2007.
10	Pesenti A,Gattinoni L,Bonbino M. Long term extracorporeal re-spiratory support: 20 years of progress[J]. Intensive Crit Care Di-gest, 1993, 12(1): 15-17.
11	JB K V Z. ECMO: extracorporeal cardiopulmonary support in critical care[M]. 3rd ed. Extracorporeal Life Support Organization, 2005.
12	顾晓龙,雷辉燕,白红民,等.五指山小型猪两种股动脉穿刺方法的比较[J].中国比较医学杂志, 2013, 23(2): 32-34.

记录	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15	16	17	18	合计
时间(min)	75	89	62	55	45	35	36	40	30	35	34	25	35	40	26	30	25	28	41±18
出血量(ml)	30	35	27	24	20	15	12	21	15	16	10	5	15	17	9	10	7	10	16±8
ECMO流量(ml/min)	500	450	530	550	570	650	680	580	620	750	700	660	650	580	700	680	640	710	622±80

记录	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15	16	17	18	合计
时间(min)	75	89	62	55	45	35	36	40	30	35	34	25	35	40	26	30	25	28	41±18
出血量(ml)	30	35	27	24	20	15	12	21	15	16	10	5	15	17	9	10	7	10	16±8
ECMO流量(ml/min)	500	450	530	550	570	650	680	580	620	750	700	660	650	580	700	680	640	710	622±80

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