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Bedside cannulation for veno-venous extracorporeal membrane oxygenation using portable X-ray system in a coronavirus disease patient


Posted: 2021-10-04 19:00:00
Case Reports J Cardiol Cases . 2021 Sep 25. doi: 10.1016/j.jccase.2021.09.008. Online ahead of print. Toru Kondo 1 , Tasuku Kuwayama 1 , Hiroaki Hiraiwa 1 , Daisuke Kasugai 2 , Yukari Goto 2 , Atsushi Numaguchi 2 , Toshihiko Katsu 3 , Toshinori Matsui 4 5 , Naozumi Hashimoto 4 , Akihito Tanaka 1 , Ryota Morimoto 1 , Takahiro Okumura 1 , Toyoaki Murohara 1 Affiliations Expand Affiliations 1 Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan. 2 Department of Emergency and Critical Care Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan. 3 Department of Medical Technique, Radiological Technology, Nagoya University Hospital, Nagoya, Japan. 4 Department of Respiratory Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan. 5 Medical xR Center, Nagoya University Graduate School of Medicine, Nagoya, Japan. Item in Clipboard Case Reports Toru Kondo et al. J Cardiol Cases. 2021. Show details Display options Display options Format J Cardiol Cases . 2021 Sep 25. doi: 10.1016/j.jccase.2021.09.008. Online ahead of print. Authors Toru Kondo 1 , Tasuku Kuwayama 1 , Hiroaki Hiraiwa 1 , Daisuke Kasugai 2 , Yukari Goto 2 , Atsushi Numaguchi 2 , Toshihiko Katsu 3 , Toshinori Matsui 4 5 , Naozumi Hashimoto 4 , Akihito Tanaka 1 , Ryota Morimoto 1 , Takahiro Okumura 1 , Toyoaki Murohara 1 Affiliations 1 Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan. 2 Department of Emergency and Critical Care Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan. 3 Department of Medical Technique, Radiological Technology, Nagoya University Hospital, Nagoya, Japan. 4 Department of Respiratory Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan. 5 Medical xR Center, Nagoya University Graduate School of Medicine, Nagoya, Japan. Item in Clipboard CiteDisplay options Display options Format Abstract Transportation of patients with coronavirus disease (COVID)-19 outside isolation rooms should be avoided to prevent further spread of the disease. Here, we report a safe and accurate bedside cannulation method for veno-venous extracorporeal membrane oxygenation (VV-ECMO) in a COVID-19 patient in the intensive care unit. A 71-year-old man was admitted to our hospital and diagnosed as having COVID-19 pneumonia. We decided to initiate VV-ECMO therapy because maintaining blood oxygen saturation was difficult despite the mechanical ventilation. We placed two flat-panel detectors behind the patient's chest and the right inguinal area. We repeatedly imaged and monitored insertion of wires and cannulas using a portable X-ray system. Cannulas were successfully inserted in the appropriate position, and VV-ECMO was initiated without any complications. Keywords: COVID-19; Cannula; Catheterization; Extracorporeal membrane oxygenation; Intensive care unit; Portable X-ray system. © 2021 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved. Conflict of interest statement T.O. received lecture fees from Ono Yakuhin, Medtronics, and Otsuka and received research grants from Ono Yakuhin, Bayer, Daiichi-Sankyo, and Amgen Astellas (not in connection with the submitted work). T.M. received lecture fees and unrestricted research grants from the Department of Cardiology at Nagoya University Graduate School of Medicine, Bayer, Daiichi-Sankyo, Dainippon Sumitomo, Kowa, MSD, Mitsubishi Tanabe, Boehringer Ingelheim, Novartis, Pfizer, Sanofi-Aventis, Takeda, Astellas, Otsuka, and Teijin. Publication types Case Reports [x] Cite Copy Format: Send To [x]

参考サイト PubMed: covid-19



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