• ASAIO J. · Aug 2019

    Optimal Methods to Secure Extracorporeal Membrane Oxygenation Bicaval Dual-Lumen Cannulae: What Works?

    • Christopher J Tignanelli, Allison Weinberg, and Lena M Napolitano.
    • From the Department of Surgery, University of Michigan, Ann Arbor, Michigan; and Michigan Medicine ECMO Program, Ann Arbor, Michigan.
    • ASAIO J. 2019 Aug 1; 65 (6): 628-630.

    AbstractAmbulation while on extracorporeal membrane oxygenation (ECMO) is critical to facilitate native pulmonary recovery for patients with acute respiratory failure and is a prerequisite for listing for lung transplantation to achieve optimal outcomes. The development of a bicaval dual-lumen cannula capable of providing venovenous (VV) ECMO support via the internal jugular vein has greatly facilitated ambulation and rehabilitation programs. But cannula dislodgement is a serious concern with ambulation and rehabilitation, especially when minor cannula migration can significantly impact VV-ECMO flow. We review an optimal technique to secure dual-lumen cannula to facilitate early mobility, ambulation, and rehabilitation and prevent ECMO cannula dislodgement.

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