ECMO cannulation controversies and complications

John M. Stulak, Joseph A. Dearani, Harold M. Burkhart, Roxann D. Barnes, Phillip D. Scott, Gregory J. Schears

Research output: Contribution to journalReview article

38 Citations (Scopus)

Abstract

Advances in extracorporeal life support have expanded indications for use extending beyond patients undergoing cardiac surgery. The approach to cannulation in patients requiring extracorporeal membrane oxygenation should be individualized and based on the specific clinical scenario in which the need arises. Adherence to proper techniques of vessel visualization, exposure, and cannulation along with accurate placement of cannulae will optimize flows and minimize complications in this setting. Patients in need of mechanical circulatory support require input from a multidisciplinary team approach with systematic clinical evaluation to optimize outcome. If hemodynamics do not initially permit the successful separation from mechanical support, then a systematic search for potentially reversible patient and/ or pump related factors should be undertaken. The success of this therapy is predicated on patient selection, a multidisciplinary team approach in the intensive care unit, adherence to precise technical principles, and repeated patient evaluation.

Original languageEnglish (US)
Pages (from-to)176-182
Number of pages7
JournalSeminars in Cardiothoracic and Vascular Anesthesia
Volume13
Issue number3
DOIs
StatePublished - Sep 2009

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Catheterization
Extracorporeal Membrane Oxygenation
Patient Selection
Thoracic Surgery
Intensive Care Units
Hemodynamics
Therapeutics

Keywords

  • Cannulation
  • Extracorporeal circulation
  • Mechanical circulatory support

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Stulak, J. M., Dearani, J. A., Burkhart, H. M., Barnes, R. D., Scott, P. D., & Schears, G. J. (2009). ECMO cannulation controversies and complications. Seminars in Cardiothoracic and Vascular Anesthesia, 13(3), 176-182. https://doi.org/10.1177/1089253209347943

ECMO cannulation controversies and complications. / Stulak, John M.; Dearani, Joseph A.; Burkhart, Harold M.; Barnes, Roxann D.; Scott, Phillip D.; Schears, Gregory J.

In: Seminars in Cardiothoracic and Vascular Anesthesia, Vol. 13, No. 3, 09.2009, p. 176-182.

Research output: Contribution to journalReview article

Stulak, JM, Dearani, JA, Burkhart, HM, Barnes, RD, Scott, PD & Schears, GJ 2009, 'ECMO cannulation controversies and complications', Seminars in Cardiothoracic and Vascular Anesthesia, vol. 13, no. 3, pp. 176-182. https://doi.org/10.1177/1089253209347943
Stulak JM, Dearani JA, Burkhart HM, Barnes RD, Scott PD, Schears GJ. ECMO cannulation controversies and complications. Seminars in Cardiothoracic and Vascular Anesthesia. 2009 Sep;13(3):176-182. https://doi.org/10.1177/1089253209347943
Stulak, John M. ; Dearani, Joseph A. ; Burkhart, Harold M. ; Barnes, Roxann D. ; Scott, Phillip D. ; Schears, Gregory J. / ECMO cannulation controversies and complications. In: Seminars in Cardiothoracic and Vascular Anesthesia. 2009 ; Vol. 13, No. 3. pp. 176-182.
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