The 18-year-old "violent" guy was desperate

Morning Post October 22 News 18-year-old guy, fulminant myocarditis, multidisciplinary team, ECMO, 13 days and nights... Seeing these keywords, people can feel the tension and intensity of a life-and-death rescue not long ago. At 11:00 p.m. on September 24, a phone call broke the busy and orderly silence of the Intensive Care Department (ICU) of the Headquarters of Qingdao Municipal Hospital at night. An 18-year-old boy with fulminant myocarditis was lying in the emergency room, the intensive care department was rapidly preparing for ECMO (extracorporeal membrane oxygenation), and the cardiology team was racing every second to perform an emergency coronary angiogram for him in the catheterization room. Pre-punching - ultrasound evaluation - positioning - catheterization - connection - operation, under the precise control of ECMO team members such as anesthesia surgery, cardiac surgery, and critical care medicine, ECMO is on the machine in one go. With the success of ECMO's "substitute shift", the patient's "violent" heart is rested, breathing is restored steadily, and the heart rate and blood pressure improve synchronously.

According to reports, ECMO is a top in vitro life support technology, also known as "artificial heart and lung" technology, representing the level of critical care emergency in a hospital and even a region, and is known as a "life-saving artifact" for critically ill patients. The principle is that the venous blood is drawn out, oxygenated through the membrane lungs and pumped back to the arteries, which can replace the patient's cardiopulmonary function and allow the heart and lungs to rest. "Without ECMO technology, the mortality rate from severe fulminant myocarditis is very high, and EC-MO can give patients a break in their hearts when they are on board. At the same time, we treat the patient's primary disease, so that the heart can slowly recover. A medical staff involved in this rescue introduced that the management of ECMO during the machine is complex, equivalent to the existence of two heart pumps and two lungs in the human body at the same time, circulation management, respiratory management, infection control management, liquid management, anticoagulant management, hydrochlorination management, hydrochloride and other management are required to be extremely fine.

However, the successful launch of ECMO is only the first step, and each link of body anticoagulation, liquid management, hydroelectric acid and alkali, pipeline maintenance, and sensor control management is related to the success or failure of rescue after the machine. In order to fully protect the safety of the patient's life, the multidisciplinary team of the municipal hospital conducted joint diagnosis, the ECMO team conducted uninterrupted specialist rounds every day during the National Day holiday, and the bedside severe ultrasound evaluated the patient's cardiac function, vascular complications, peripheral perfusion, catheter position, etc. several times a day. After 13 consecutive days of one-on-one day and night guarding by the medical team, the patient's vital signs finally stabilized, the cardiac function reached the standard, ECMO completed its mission, and the patient was successfully taken offline.

During this treatment, the ECMO team completed the implantation in a short period of time, and the patient did not have any complications. Reviewing the successful rescue of myocarditis fulminant, the multidisciplinary team model advocated by the hospital, the timely, rapid and effective response and close cooperation of the skilled EC-MO team are undoubtedly the keys to success, and the integrated diagnosis and treatment plan of medical care and the full rescue and care of the medical team have also played an important role.

Since the launch of ECMO technology, Qingdao Municipal Hospital has successfully treated dozens of critically ill patients, including pregnant women with fulminant myocarditis, becoming the "ultimate" weapon for rescuing serious patients, reflecting the hospital's excellent ability to treat critical and severe diseases as a regional medical center.

(Guanhai News/Qingdao Morning Post reporter Yang Jian.)

Correspondent Xu Fuqiang)

Source: Local Network. Qingdao

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