Nursing care of patients with cardiogenic shock combined with acute respiratory distress syndrome treated by extracorporeal membrane oxygenation and transferred outer-hospital in long distance
Wang Weizhong, Ma Hongli, Wang Zhijuan, Zhou Yaoying, Yu Jiandi, Wu Chunyan
Published 2020-04-01
Cite as Chin J Prac Nurs, 2020,36(10): 774-777. DOI: 10.3760/cma.j.cn211501-20190512-01302
Abstract
ObjectiveTo summarize the nursing experience in 2 patients with cardiogenic shock combined with acute respiratory distress syndrome(ARDS) treated by extracorporeal membrane oxygenation (ECMO) and transferred outer-hospital in long distance.
MethodsThere were many risk factors in this transport: high parameters of ECMO included V-A mode, 100% oxygen, and a flow of oxygen from 6 L/min to 10 L/min. High ventilator parameters included oxygen concentration of 100% and positive end-expiratory pressure of 15-17 cmH2O(1 cmH2O=0.098 kPa). Transport distance was up to 196 km. And the transport time was up to 2 h 36 min. In this regard, we carried out adequate preparations before transport and professional cares during transport. The main points were as follows: setted up a professional transport team; prepared adequate power and oxygen supply; reduced the number of interruption of ECMO and ventilator support during transport; provided the reasonable remedial actions when ECMO and ventilator support were interrupted.
ResultsTwo patients arrived at the destination safely.
ConclusionsAdequate preparations before transport and professional cares during transport could effectively avoid and respond to the occurrence of adverse events, and it is feasible and safe to patients supported by ECMO for long distance outer-hospital transport.
Key words:
Extracorporeal membrane oxygenation; Cardiogenic shock; Acute respiratory distress syndrome; Patient transfer
Contributor Information
Wang Weizhong
Department of Intensive Care Units, Shaoxing People′s Hospital, Shaoxing 312000, China
Ma Hongli
Department of Nursing, Shaoxing People′s Hospital, Shaoxing 312000, China
Wang Zhijuan
Department of Nursing, Shaoxing People′s Hospital, Shaoxing 312000, China
Zhou Yaoying
Department of Intensive Care Units, Shaoxing People′s Hospital, Shaoxing 312000, China
Yu Jiandi
Department of Intensive Care Units, Shaoxing People′s Hospital, Shaoxing 312000, China
Wu Chunyan
Department of Intensive Care Units, Shaoxing People′s Hospital, Shaoxing 312000, China