ECMO como terapia em choque cardiogénico Pós-EAM
Type
article
Publisher
Identifier
JUSTINO, Vanessa [et al.] (2022) - ECMO como terapia de choque cardiogénico Pós-EAM. HIGEIA : Revista Científica da Escola Superior de Saúde Dr. Lopes Dias. ISSN 2184-5565. Ano IV, vol. 8, n.º 2, p. 27-35.
2184-5565
Title
ECMO como terapia em choque cardiogénico Pós-EAM
ECMO as therapy in Post-AMI cardiogenic shock
ECMO as therapy in Post-AMI cardiogenic shock
Subject
ECMO
Enfarte agudo do miocárdio
Choque cardiogénico
ECMO
Acute myocardial infarction
Cardiogenic shock
Enfarte agudo do miocárdio
Choque cardiogénico
ECMO
Acute myocardial infarction
Cardiogenic shock
Date
2022-12-28T15:59:10Z
2022-12-28T15:59:10Z
2022
2022-12-28T15:59:10Z
2022
Description
A oxigenação por membrana extracorporal é um dispositivo de assistência circulatória mecânica de curta duração utilizado em doentes com disfunção cardíaca e/ou pulmonar grave refratários à terapêutica convencional. O seu funcionamento implica a canulação de dois grandes vasos (inflow e outflow), uma bomba centrífuga e um oxigenador. Existem duas modalidades de oxigenação por membrana extracorporal, no ECMO VenoVenoso o sangue é drenado e entregue apenas por veias, permitindo apenas o suporte pulmonar, enquanto no ECMO VenoArterial a drenagem sanguínea é efetuada através de uma veia e entregue numa
artéria, garantindo assim o suporte cardiopulmonar. O presente estudo apresenta o relato de um caso
clínico de um paciente do sexo masculino com 56 anos que foi transportado para uma unidade hospitalar por um episódio de dor torácica intensa há 24h e sensação de dispneia súbita. O doente foi transferido para uma Unidade de Cuidados Intensivos de Cardiotorácica, afim da colocação de ECMO VenoArterial por choque cardiogénico pós enfarte agudo do miocárdio como ponte para decisão terapêutica. A oxigenação por membrana extracorporal pode ser utilizada em vários contextos clínicos desde a estabilização e recuperação do órgão alvo, até como ponte de decisão para transplante cardíaco ou colocação de um dispositivo de assistência circulatória mecânica de longa duração.
Extracorporeal membrane oxygenation is a shortterm mechanical circulatory assist device used in patients with severe cardiac and/or pulmonary dysfunction refractory to conventional therapy. Its operation involves the cannulation of a vein (inflow) and an artery (outflow), one centrifugal pump and one oxygenator. There are two modalities of extracorporeal membrane oxygenation, in the ECMO-venovenous blood is drained and delivered only through veins, allowing only pulmonary support whereas in the ECMO-venoarterial blood is drained through a vein and delivered in one artery, thus ensuring cardiopulmonary support. The present study presents the report of a clinical case of a 56-year-old male patient who was transported to a hospital for an episode of severe chest pain 24 hours ago and a sensation of sudden dyspnea. The patient was transferred to the Cardiothoracic Intensive Care Unit for placement of ECMO-venoarterial due to cardiogenic shock after acute myocardial infarction as a bridge for therapeutic decision. Extracorporeal membrane oxygenation can be used in several clinical contexts, from stabilization and recovery of the target organ, to as a decision bridge for heart transplantation or placement of a longterm mechanical circulatory assist device.
info:eu-repo/semantics/publishedVersion
Extracorporeal membrane oxygenation is a shortterm mechanical circulatory assist device used in patients with severe cardiac and/or pulmonary dysfunction refractory to conventional therapy. Its operation involves the cannulation of a vein (inflow) and an artery (outflow), one centrifugal pump and one oxygenator. There are two modalities of extracorporeal membrane oxygenation, in the ECMO-venovenous blood is drained and delivered only through veins, allowing only pulmonary support whereas in the ECMO-venoarterial blood is drained through a vein and delivered in one artery, thus ensuring cardiopulmonary support. The present study presents the report of a clinical case of a 56-year-old male patient who was transported to a hospital for an episode of severe chest pain 24 hours ago and a sensation of sudden dyspnea. The patient was transferred to the Cardiothoracic Intensive Care Unit for placement of ECMO-venoarterial due to cardiogenic shock after acute myocardial infarction as a bridge for therapeutic decision. Extracorporeal membrane oxygenation can be used in several clinical contexts, from stabilization and recovery of the target organ, to as a decision bridge for heart transplantation or placement of a longterm mechanical circulatory assist device.
info:eu-repo/semantics/publishedVersion
Access restrictions
openAccess
http://creativecommons.org/licenses/by/4.0/
http://creativecommons.org/licenses/by/4.0/
Language
por
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