2021
DOI: 10.1097/md.0000000000024085
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Nursing effect of ECMO combined with CRRT in the treatment of fulminant myocarditis

Abstract: Background: Fulminant myocarditis has a sudden onset and rapid progress, which can easily cause multiple organ failure. Acute kidney injury is a common complication. ECMO (extracorporeal membrane oxygenation) and CRRT (continuous renal replacement therapy) have been used in the treatment of fulminant myocarditis, but the combination of the 2 has an impact on the prognosis. There is still a big controversy. Therefore, the purpose of this randomized controlled trial is to evaluate the nursing effect … Show more

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Cited by 4 publications
(3 citation statements)
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“…is may be attributed to the fact that nursing risk management effectively prevents treatment-related risk factors and enhances the safety of treatment. us, it can effectively improve the outcomes and patients' satisfaction [18,19].…”
Section: Discussionmentioning
confidence: 99%
“…is may be attributed to the fact that nursing risk management effectively prevents treatment-related risk factors and enhances the safety of treatment. us, it can effectively improve the outcomes and patients' satisfaction [18,19].…”
Section: Discussionmentioning
confidence: 99%
“…due to the use of anticoagulants, and some patients may have heart failure due to circulatory instability caused by hemodialysis. For peritoneal dialysis patients, peritoneal dialysis-related peritonitis is prone to occur, and the patient presents with abdominal pain, chills, fever, etc., and severe patients may lead to septic shock [ 21 ]. Peritoneal dialysis patients are prone to abdominal distension due to the instillation of peritoneal dialysis fluid in their stomachs, and chest tightness may occur after the diaphragm is on the stage [ 22 ].…”
Section: Discussionmentioning
confidence: 99%
“…Medical staff have to perform several tasks to manage the ECMO circuit and this workload is increased by the addition of a CRRT machine to the circuit ( 104 ). Nurses or clinical perfusionists caring for ECMO patients have to adjust pump flow according to hemodynamic parameters and cardiac function, manage the dose of anticoagulants that includes the monitoring of activated coagulation time every 2 h, manage mechanical ventilation, if necessary, monitor hemodynamic parameters by performing blood gas analysis and central venous oxygen saturation every 4 h, and manage the dose of vasoactive drugs ( 104 ). With the inclusion of a CRRT machine in the circuit, hemodiafiltration parameters have to be controlled.…”
Section: Technical Outlookmentioning
confidence: 99%