概述

妙佑医疗国际因其在生命支持方面的专业知识而受到认可

妙佑医疗国际明尼苏达州罗切斯特院区的 ECMO 项目获得了体外生命支持组织 (ELSO) 颁发的最高成就奖。

了解有关 ELSO 奖项的更多信息。卓越中心奖体现了妙佑医疗国际对需要 ECMO 的人们的特殊关怀,以及对创新和质量的承诺。

妙佑医疗国际的体外膜氧合 (ECMO) 项目为婴儿、儿童和患有危及生命的肺部或心脏疾病的成人提供治疗。ECMO,也被称为体外生命支持 (ECLS),在患者康复期间暂时接管心脏和/或肺部的功能。对药物或呼吸机等其他生命支持方法无效的患者,ECMO 可能是一种选择方案。

ECMO 不能治疗或治愈疾病,但当患者暂时不能为组织提供足够的氧气时,它可提供帮助。ECMO 设备通过导管(插管)将血液从体内抽走,并将血液泵入人工肺(充氧器),从而起到人工心肺的作用。充氧器将二氧化碳从血液中取出,将氧气注入血液。然后血液被泵回体内。

根据病情,ECMO 的使用时间从几天到几周不等。

经过专门培训的医护团队

在获得 ECMO 生命支持的同时,多学科团队将始终对您进行监测。所有 ECMO 团队成员都接受过专门培训,以照护病情复杂和严重的患者。医护团队由以下人员组成:

  • 重症监护医生
  • 接受过专业培训的护士和呼吸治疗师(ECMO 专科医生)
  • 灌注师
  • 心脏外科医生
  • 护理医师或医生助理
  • 注册护士
  • 呼吸治疗师
  • 药剂师
  • 物理治疗师

根据您的特定需求,还会涉及其他医护人员。

先进、协作的的治疗

Nursing excellence

Jessica McNallan, R.N., Pediatric ICU, Mayo Clinic: Nathan was a cancer patient and he was admitted to the hospital with a respiratory infection. His situation was uncommon in the fact that he'd had chemotherapy and his immune system was was very fragile.

Becky Herber, mother: He was taking six different chemotherapy drugs, so his bone marrow was completely shut off at that point. He had no chance whatsoever to fight off any infection or virus.

Jessica McNallan, R.N.: And then when he came to our side, to the ICU side, we're just really saw him decline. We were throwing every therapy at him, but he didn't improve. Therapy after therapy, intervention after intervention.

Becky Herber: They had done everything they possibly could to sustain his lungs and everything had failed and he was in respiratory constant respiratory failure. And that's when everybody moved in to help transfer him from the PICU and the ventilator to the ECMO unit to preserve his lungs.

Jessica McNallan, R.N.: We knew we had one chance to make this happen. But because I worked both oncology and ICU, I had the skill set. The people on either side of me had the skill set. In a heated moment like that when we make that decision, let's go. We can do it.

Becky Herber: She commanded the room and she knew his case so well. Her forward thinking made a vital difference for Nathan in that transition time.

Andy Herber, father: I've worked in medicine for 16 years. I have never seemed perfect nursing like that before and I am so thankful for it.

Jessica McNallan, R.N.: I was the right person, in the right place, at the right time. I'm glad I was there and able to help and to have the outcome that they had.

Becky Herber: Nathan looks like a normal, healthy six year old. He is physically able to do things any normal six year old would be able to do. I know there's a miracle in our midst and I can't not be in awe of it.

使用 ECMO 生命支持时,每天都会有数个不同的团队和机器对您进行监测。您需要连接可测量心率和心律、血压、含氧量、温度和许多其他数值的显示器。ECMO 机器可监测血液中的血流和含氧量。

机器由 ECMO 专科医生或灌注师密切监测。每天将多次抽血和血液监测。而且,您可能每天都要进行 X 线检查,以评估您的身体状况并监测试管的位置。

我们的计划

妙佑医疗国际亚利桑那州凤凰城院区、佛罗里达州杰克逊维尔院区和明尼苏达州罗切斯特院区均提供 ECMO。该服务会影响许多医疗和外科科室的患者护理,包括新生儿护理科、儿科与青少年医学重症监护科心血管外科移植中心肺科

妙佑医疗国际在为婴儿、儿童和成人提供 ECMO 治疗方面拥有 20 多年的经验。妙佑医疗国际已为 1,000 多人提供了 ECMO 治疗。

妙佑医疗国际定期在模拟实验室举办研讨会和培训,以帮助全球的重症监护医学专业人士学习使用 ECMO 来帮助人们的最新技术。

妙佑医疗国际明尼苏达州院区和亚利桑那州院区在生命支持方面的卓越表现而获得了体外生命支持组织颁发的金奖。

Mayo Clinic in Rochester, Minn., and Mayo Clinic in Phoenix/Scottsdale, Ariz., are ranked among the Best Hospitals for heart care and heart surgery and pulmonology by U.S. News & World Report. Mayo Clinic in Jacksonville, Fla., is ranked highly performing for pulmonology by U.S. News & World Report.

研究与创新

自专科设立以来,妙佑医疗国际始终处于心血管外科的最前沿。妙佑医疗国际的外科医生使用医院开发的心肺机对儿童实施心脏直视手术,这是全世界最早的一部分心脏直视手术案例。

妙佑医疗国际的研究人员和医学专业人员通过开发可改善人们生活的新型 ECMO 解决方案,延续了研究和创新传统。请参阅美国国家医学图书馆检索服务系统 PubMed 所收录的妙佑医疗国际医生在体外肺膜氧合(ECMO)领域发表的文献列表

Sept. 14, 2021

体外膜肺氧合 (ECMO) 计划