New breakthrough!"Dr. Ye" has a gorgeous transformation to open up a vast world for lung transplantation surgery

Before lung transplantation surgery, how to slow down the symptoms of patients, improve the comfort of patients, and strive for valuable time for surgery? After surgery, how to let patients recover as soon as possible and return to normal life?

Recently, Professor Chen Yan, the director of the Shanghai Pulmonary Hospital Pulmonary Transplantation Engineering Technology Research Center and the leader of the pulmonary transplant team of the pulmonary hospital, led the ECMO team to adopt the single-tube and bilateral vein intubation to successfully implement the VV-ECMO "one tube and two cavity "(A method of intubation from veins to veins) surpasses the two -tube control technology of the previous conventional" femoral vein+cervical vein ", so that the patient's lower limbs are not invasive, rehabilitation faster, and the prognosis is better.

The 72 -year -old patient Liu (pseudonym) was under the ICU of breathing and crisis medical department of the lung hospital for "interstitial lung disease" and decided to perform lung transplant surgery. However, in the process of waiting for the lungs, Uncle Liu was still in difficulty and breathing normally even with the assistance of the ventilator. The lung transplantation surgery was imminent ... For the patient's physical condition for the patient Liu Dabo (a pseudonym), the newly leading international "Dr. Ye" -son-single-tube and two-cavity cervical vein tube VV-ECMO is used to help them better complete surgery and recover as soon as possible.

This technology is only placed in a single catheter in the cervical vein. One is that the patient is less damage and fewer complications; the other is that the intragement of the bipolar neck shorten the path, reduce the recycling, and greatly improve the ECMO efficiency. Blood; more importantly, does not occupy the intravenous management of the stock, reduce the intravenous intubation of the stock, does not limit the lower limb activity, the patient's pressure and the improvement of postoperative comfort are conducive to the early rehabilitation treatment of patients. One step.

Although the advantage is obvious, it is difficult to operate. The tube intubation in the two -cavity neck is more difficult than the traditional single tube interpolation technology. The intubation and irrigation holes must be aimed at three valve. Therefore, the B -ultrasound doctor and anesthesiologist cooperate with each other to accurately position the pipe under the esophageal ultrasound guidance. Lay a solid foundation for the smoothness of lung transplantation.

After successful monocular pipe surgery, Liu was particularly critical after successful monocular pipe surgery. The single -tube and bilateral vein intubation does not limit the lower extremity activity. The patient pushes from the liberation of the feet to the bed to the bed and then walks down. He actively cooperates with the one -to -one daily rehabilitation plan to gradually restore the lower limb function. Uncle Liu has now successfully entered the steady recovery. Dr. Zhang Li, Division of Breathe and Critical Medicine, said that the key to the success of the difficulty of the difficulty in this difficulty is that in addition to the use of bipolar intravenous pipe tube, respiratory rehabilitation therapist played an important role after surgery.

It is reported that the use of bipolar intravenous pipe tube this time is another positive exploration of the ECMO team of the Lung Hospital in accurate treatment and reducing medical damage. Essence

Edit: Wu Baixin

Data: Shanghai Lung Department Hospital

*Reprinted, please indicate the official WeChat from Shanghai Yangpu

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