The nursing experience of prone position ventilation supported by extracor-poreal membrane oxygenation（ECMO） in 8 patients with severe primary graft dysfunction（PGD） after lung transplantation. We adopted precise fluid management,enhanced airway management during pulmonary edema,comprehensive measures based on patient safety and early pulmonary rehabilitation training to deal with the patient's fluid control,airway maintenance,prone position,pulmonary rehabilitation and other issues. 7 patients were eventually transferred to the transplantation ward successfully,while one patient died of multiple organ failure.
FENG Shiping
,
WANG Haixiang
,
WANG Dapeng
,
PU Minhua
. Nursing care of prone position ventilation under the support of extracorporeal membrane oxygenation in patients with primary graft dysfunction after lung transplantation[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024
, 5(1)
: 40
-43
.
DOI: 10.3761/j.issn.2096-7446.2024.01.006
[1] Gregory I,Snell,Fracp M,et al.Report of the ISHLT working group on primary lung graft dysfunction,part I:definition and grading—a 2016 consensus group statement of the interna-tional society for heart and lung transplantation[J]. J Heart Lung Transplant,2017,36(10):1097-1103.
[2] 王戡,赵晶. 肺移植术后原发性移植物失功研究进展[J]. 北京医学,2022,44(11):1031-1035.
Wang K,Zhao J.Research progress of primary graft failure after lung transplantation[J]. Beijing Med J,2022,44(11):1031-1035.
[3] 中华医学会重症医学分会重症呼吸学组. 急性呼吸窘迫综合征患者俯卧位通气治疗规范化流程[J]. 中华内科杂志,2020,59(10):781-787.
Severe Respiratory Diseases Group of Critical Care Medicine Committee of Chinese Medical Association. Standardized procedure of prone ventilation in patients with acute respiratory distress syndrome[J]. Chin J Intern Med,2020,59(10):781-787.
[4] Gordon A,Rabold E,Thirumala R,et al.Prone positioning in ARDS[J]. Crit Care Nurs Q,2019,42(4):371-375.
[5] 中国心胸血管麻醉学会,中华医学会麻醉学分会,中国医师协会麻醉学医师分会,等. 不同情况下成人体外膜肺氧合临床应用专家共识(2020版)[J]. 中国循环杂志,2020,35(11):1052-1063.
Chinese Society of Cardiothoracic Vascular Anesthesiology,Anes-thesiology Branch of Chinese Medical Association,Anesthesiology Physician Branch of Chinese Medical Doctor Association,et al. Expert consensus on the clinical application of adult extracorporeal membrane oxygenation under different conditions(2020 edition)[J]. Chin Circ J,2020,35(11):1052-1063.
[6] Harano T,Ryan JP,Morrell MR,et al.Extracorporeal membrane oxygenation for primary graft dysfunction after lung transplantation[J]. ASAIO J,2021,67(9):1071-1078.
[7] 彭操,陈秀文,任华,等. 俯卧位通气患者压力性损伤预防的最佳证据总结[J]. 中华护理教育,2021,18(10):935-941.
Peng C,Chen XW,Ren H,et al.Summary of the best evidence for prevention of pressure injury in patients with prone position ventilation[J]. Chin J Nurs Edu,2021,18(10):935-941.
[8] 兰美娟,曾妃,梁江淑渊. 双肺移植患者肺康复方案的构建及应用[J]. 中华护理杂志,2022,57(6):659-665.
Lan MJ,Zeng F,Liang JSY.Construction and application of a pulmonary rehabilitation program in patients with double lung transplantation[J]. Chin J Nurs,2022,57(6):659-665.
