A complication of ECMO cannula placement resulting in hemodynamic and oxygenation alterations: A case report

Research output: Contribution to journalArticlepeer-review

Abstract

Veno-veno extracorporeal membrane oxygenation (VV ECMO) is used as a bridge to recovery in acute respiratory distress syndrome (ARDS) patients who have reversible lung failure. We present a complication of ECMO cannula placement/position resulting in hemodynamic and oxygenation alterations. These demonstrate principles related to the interaction of the VV ECMO circuit and patient cardio-pulmonary physiology. Consideration and comprehension of pulmonary shunt fraction, ECMO cannula recirculation ratio and ECMO blood flow to cardiac output (CO) ratio are central to continuous assessment and diagnosis of cardio-pulmonary changes encountered during management of VV ECMO.

Original languageEnglish (US)
Article number110623
JournalJournal of Clinical Anesthesia
Volume77
DOIs
StatePublished - May 2022

Keywords

  • ARDS
  • COVID-19
  • ECMO
  • Extracorporeal membrane oxygenation

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Fingerprint

Dive into the research topics of 'A complication of ECMO cannula placement resulting in hemodynamic and oxygenation alterations: A case report'. Together they form a unique fingerprint.

Cite this