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

ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs
Christopher J TignanelliLena M Napolitano

Abstract

Ambulation 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.

References

Apr 14, 2004·Chest·Stephanie M Levine, UNKNOWN Transplant/Immunology Network of the American College of Chest Physicians
Oct 9, 2008·JAMA : the Journal of the American Medical Association·Dale M Needham
Feb 27, 2013·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Loïc ChimotYves Le Tulzo
Feb 28, 2014·Critical Care : the Official Journal of the Critical Care Forum·Darryl AbramsDaniel Brodie

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Citations

Feb 16, 2021·Advances in Skin & Wound Care·Jill Cox, Marilyn Schallom
May 11, 2021·Indian Journal of Thoracic and Cardiovascular Surgery : Official Organ, Association of Thoracic and Cardiovascular Surgeons of India·Vanessa Marie BazanJoseph Bertram Zwischenberger

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