Use of a tracheal dilator for percutaneous insertion of 27F and 31F Avalon© dual-lumen cannulae for veno-venous extracorporeal membrane oxygenation in adults
| Autor: | Richard Porter, Chris Harvey, Yiorgos Alexandros Cavayas, Hakeem Yusuff, Caroline Sampson, Susan Dashey |
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| Rok vydání: | 2018 |
| Předmět: |
Advanced and Specialized Nursing
medicine.medical_specialty Percutaneous business.industry medicine.medical_treatment Lumen (anatomy) General Medicine 030204 cardiovascular system & hematology Cannula Surgery 03 medical and health sciences 0302 clinical medicine medicine Extracorporeal membrane oxygenation Radiology Nuclear Medicine and imaging 030212 general & internal medicine Cardiology and Cardiovascular Medicine business Safety Research Tracheal dilator |
| Zdroj: | Perfusion. 33:509-511 |
| ISSN: | 1477-111X 0267-6591 |
| DOI: | 10.1177/0267659118766434 |
| Popis: | Veno-venous extracorporeal membrane oxygenation can be performed either by two cannulae or by a single dual-lumen cannula. The dual-lumen cannulation configuration offers multiple advantages: it avoids the femoral site which may be at greater risk of infection, it improves patient mobility, eases prone positioning and greatly reduces recirculation. The Avalon was the first commercially available dual-lumen cannula for adults. It has gained much popularity, but, for more than a year now, the adult vascular access kit with the 30Fr dilator has been discontinued in the United Kingdom. In this article, we share our experience with an alternative insertion method, using a percutaneous dilatational tracheostomy kit. This off-label use of the tracheostomy dilator appears to be safe. It may allow the continuing use of Avalon dual-lumen cannulae while waiting for a more permanent solution to be provided by the manufacturer. |
| Databáze: | OpenAIRE |
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