Vascular access in ECMO

Suneel Kumar Pooboni; Krishna Mohan Gulla

doi:10.1007/s12055-020-00999-w

Vascular access in ECMO

Indian J Thorac Cardiovasc Surg. 2021 Apr;37(Suppl 2):221-231. doi: 10.1007/s12055-020-00999-w. Epub 2020 Sep 17.

Authors

Suneel Kumar Pooboni¹, Krishna Mohan Gulla²

Affiliations

¹ Department of Pediatric Critical Care Medicine, Mediclinic Hospital, Dubai Healthcare City, Dubai, UAE.
² Division of Pediatric Emergency and Critical Care Department of Pediatrics PGIMER, Chandigarh-12, India.

Abstract

In critically ill patients, deserving extracorporeal membrane oxygenation (ECMO), choosing the right pattern of cannulation such as veno-venous (VV), veno-arterial (VA), veno-veno-arterial (VVA), and central; selecting the appropriate size cannulae; and good cannulation techniques are all pre-requisites for the successful outcome of ECMO. We are describing the selection criteria for choosing appropriate size cannulae, cannulation configurations, available cannulae, and possible complications. A brief note on anticoagulation was added.

Keywords: Cannulae; VA-ECMO; VV-ECMO; VVA-ECMO.