Central Cannulation in Extracorporeal Membrane Oxygenation for cardiorespiratory arrest in patients who have undergone cardiac surgery
Section: Práctica Clínica
How to quote
Querol Vallés E, Pérez Ortega S, Venturas Nieto M, Prats Barrera J. Canulación central de membrana de oxigenación extracorpórea en parada cardiorrespiratoria en postoperados de cirugía cardiaca. Metas Enferm sep 2019; 22(7):56-64.
Authors
Elena Querol Vallés1, Silvia Pérez Ortega2, Montserrat Venturas Nieto3, Judith Prats Barrera4
Position
1Máster. Enfermera de Unidad de Cuidados Coronarios Agudos. Instituto Clínico Cardiovascular. Hospital Clínic de Barcelona2Candidata a Doctora. Enfermera clínica. Instituto Clínico Cardiovascular. Hospital Clínic de Barcelona3Doctora en Ciencias de la Enfermería. Cap de Gestió Enfermera Institut Clínic Cardiovascular Hospital Clínic de Barcelona. Profesora Asociada. Universidad de Barcelona4Máster. Enfermera de Unidad de Cuidados Intensivos de Cirugía Cardiovascular. Instituto Clínico Cardiovascular. Hospital Clínic de Barcelona
Contact address
Elena Querol Vallés. Hospital Clínic de Barcelona. Instituto Clínico Cardiovascular. Unidad de Cuidados Coronarios Agudos. C/ Villaroel, 170. 08036 Ba
Contact email: querol_3@hotmail.com
Abstract
In patients who have undergone cardiac surgery, most cardiorespiratory arrests (CRAs) require emergent sternal reopening. When this situation is not reversed, the use of extracorporeal membrane oxygenation (ECMO) has been defined as an effective therapy in order to improve survival and reduce neurological damage. Central ECMO cannulation in these patients represents a fast and safe option, though continuous training is required, as well as preparing procedure guidelines so that all the staff can act in a fast and effective manner. The objectives for developing this protocol are: a) To standardize the sequence of interventions in the placement of central ECMO at CRA; b) To determine and define the roles of each professional involved during the process; c) To describe any potential complications that might appear, in order to prevent them or minimize their consequences; d) To identify nursing diagnoses and determine the adequate plan of care.
Keywords:
Extracorporeal membrane oxygenation; ECMO; cardiac or thoracic surgery; cardiac arrest; critical careNursing
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