Akciğer naklinde intraoperatif pulmoner arter kateterizasyon verilerinin ekstrakorporeal membranoksijenasyon ihtiyacını belirlemedeki rolü

Amaç: Bu çalışmada, akciğer nakli sırasında hastalarınintraoperatif ekstrakorporeal membran oksijenasyon destekihtiyacını belirleyen öngördürücü faktörler araştırıldı. Çalışma planı: Aralık 2016 - Aralık 2019 tarihleri arasındahastanemizde akciğer nakli olan toplam 63 hasta (49 erkek,14 kadın; ort. yaş 44.9±14.4 yıl; dağılım, 14-64 yıl) retrospektifolarak incelendi. Hastaların demografik özellikleri veperioperatif klinik verileri kaydedildi. İndüksiyon ve pulmonerarter kateterizasyonu sonrasında kalp debisi, ortalama pulmonerarter basıncı, pulmoner kapiller kama basıncı, kardiyak indeks,pulmoner vasküler direnç, sistemik vasküler direnç ve sağ atriyalbasınç termodilüsyon tekniği ile ölçüldü. Bulgular: Hastaların 33’ü ameliyat sırasında ekstrakorporealmembran oksijenasyon desteği aldı. Ameliyat sırasındaekstrakorporeal membran oksijenasyon desteği gereken hastalardasağ atriyal basınç (p

The role of intraoperative pulmonary arterial catheterization data in determiningthe need for extracorporeal membrane oxygenation in lung transplantation

Background: This study aims to investigate predictive factors ofidentification of the need of patients for extracorporeal membraneoxygenation support during lung transplantation. Methods: A total of 63 patients (49 males, 14 females, meanage: 44.9±14.4 years; range, 14 to 64 years) who underwentlung transplantation in our institution between December 2016and December 2019 were retrospectively analyzed. Demographiccharacteristics and perioperative clinical data of patients wererecorded. After induction and pulmonary artery catheterization,cardiac output, mean pulmonary artery pressure, pulmonarycapillary wedge pressure, cardiac index, pulmonary vascularresistance, systemic vascular resistance, and right atrial pressurewere measured using the thermodilution technique. Results: Thirty-three of the patients received extracorporealmembrane oxygenation support during surgery. The right atrialpressure (p

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