The most popular disease that kills the lives of the Thai population in the top 1 in 5 is heart disease and day by day, the trend of death toll is increasing. due to entering an aging society and heart disease is a degenerative disease of the heart valves, blood vessels, heart muscle It’s not just the elderly. Children also had a higher rate of death from the disease. but the rate is not very high
In addition, lung disease That is caused by many factors such as behavior, smoking, infection, etc. Recently, the disease caused by the COVID-19 virus that enters the lungs to the air sacs is another cause of death.
ecmo machine or Extracorporeal Membrane Oxygenation : ECMO It is a tool used to increase oxygen levels and reduce carbon dioxide levels in the bloodstream from outside the body. For patients whose lungs and heart cannot adequately exchange gases in their normal conditions. By drawing blood from the patient and then dialysis through a machine that will control the temperature and oxygen. which the machine will act like a pump to return blood back into the body and can also control the patient’s body temperature including blood pumps and pressure
Dr. Attaphum Susupa-atth, Cardiothoracic Surgeon assistant director Bangkok Heart Hospital revealed that the ECMO It is a device that was born 50 years ago, but the technology has not developed much, but 10 years ago, the ECMO machine had better technology. study results improved Bangkok Hospital therefore imported equipment to use with patients in 2011 until the present.
For the situation of the COVID-19 outbreak, 12 hospital patients had the opportunity to use the ECMO machine because the use of the device had to watch the blood oxygen concentration drop in about 70.
“If it wasn’t an EKMO tool, All patients are expected to die. But by using the ECMO, it was possible to save up to seven patients.”
Recently, Bangkok Heart Hospital received the ELSO Award of Excellence in Extracorporeal Life Support in 2022, an award given to the ECMO team. From institutions that have ECMO service around the world, considering the results of caring for patients in various fields, which are all 7 areas:
1. Systems Focus is the nature of the service center, patient care, how is the system organized? Is there a sufficient number of personnel? 2. Environmental Focus on the number of ICU rooms. Various equipment and tools. 3. Workforce Focus is a matter of the number of personnel. 4. Knowledge Management is a matter of exchanging knowledge in the hospital. Knowledge exchange between doctors and various personnel such as meetings and discussions are ongoing.
5. Quality Focus will be about the achievement of patient care. There was information on when this patient was wearing the ECMO machine. How to put it, including having a database This database must compare the results with the results of other ECMO services around the world in order to be part of the score to be considered. or not In the medical field, there will be new research every year. Our ECMO team uses this knowledge to adjust the work of the team. Not 5 years ago, what we do now, we do the same thing. But it needs to be updated periodically.
and 7. Patient & Family Focus, not only taking care of the patient, but also having to take care of the patient’s family. Sometimes a psychologist is required. A psychiatrist joins the team, in some cases, to make sure that both the patient and their relatives can join the team’s treatment. by having to look at the big picture full overview