• Eve Cooper, Janis Burns, Andrew Retter, Gavin Salt, Luigi Camporota, Christopher I S Meadows, Christopher C J Langrish, Duncan Wyncoll, Guy Glover, Nicholas Ioannou, Kathleen Daly, and Nicholas A Barrett.
• Department of Critical Care, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.
• Crit. Care Med. 2015 Dec 1; 43 (12): e581-4.

ObjectivesVenovenous extracorporeal membrane oxygenation for patients with severe respiratory failure is increasingly common. There has been a significant change in the population, technology, and approach used for venovenous extracorporeal membrane oxygenation over the last 10 years. The objective of this study is to describe the prevalence of postdecannulation deep vein thrombosis in the cannulated vessel in adults who have received venovenous extracorporeal membrane oxygenation for severe respiratory failure.DesignA single-center, retrospective, observational cohort, electronic note review study.SettingTertiary referral university teaching hospital.PatientsPatients commenced on venovenous extracorporeal membrane oxygenation for severe respiratory failure.InterventionsNone.Measurements And Main ResultsWe identified 103 patients commenced on extracorporeal membrane oxygenation with 81 survivors from December 2011 to February 2014. We performed postdecannulation venous Doppler ultrasound in 88.9% of extracorporeal membrane oxygenation survivors. The prevalence of deep vein thrombosis in the cannulated vessel following extracorporeal membrane oxygenation is 8.1/1,000 cannula days in patients who were screened.ConclusionsThe prevalence of deep vein thrombosis following decannulation from extracorporeal membrane oxygenation for severe respiratory failure is clinically significant, and routine venous Doppler ultrasound following decannulation is warranted in this population.

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