-
Case Reports
Extracorporeal membrane oxygenation with subclavian artery cannulation in awake patients with pulmonary hypertension.
- Mauer Biscotti, Emily Vail, Keith E Cook, Bessie Kachulis, Erika B Rosenzweig, and Matthew Bacchetta.
- From the *Department of Cardiothoracic Surgery; †Department of Anesthesiology, New York Presbyterian Hospital/Columbia University Medical Center, New York, NY; ‡Department of Biomedical Engineering, Carnegie Mellon University, Pittsburgh, PA; and §Department of Pediatric Cardiology, Columbia University Medical Center, New York, NY.
- ASAIO J. 2014 Nov 1; 60 (6): 748-50.
AbstractPulmonary hypertension (PH) is a challenging disease process to manage. Respiratory and hemodynamic changes that accompany general anesthesia lead to a significant risk of cardiovascular collapse. Certain cases of decompensated PH require extracorporeal membrane oxygenation (ECMO) support as either a bridge to lung transplantation or bridge to recovery. Performing ECMO cannulation without intubation or general anesthesia in these patients may be safer given the severity of their underlying disease process. We present three cases of upper body ECMO cannulation performed on patients with pulmonary hypertension while awake and without mechanical ventilation.
Notes
Knowledge, pearl, summary or comment to share?You can also include formatting, links, images and footnotes in your notes
- Simple formatting can be added to notes, such as
*italics*,_underline_or**bold**. - Superscript can be denoted by
<sup>text</sup>and subscript<sub>text</sub>. - Numbered or bulleted lists can be created using either numbered lines
1. 2. 3., hyphens-or asterisks*. - Links can be included with:
[my link to pubmed](http://pubmed.com) - Images can be included with:
 - For footnotes use
[^1](This is a footnote.)inline. - Or use an inline reference
[^1]to refer to a longer footnote elseweher in the document[^1]: This is a long footnote..