Abstract
Extracorporeal membrane oxygenator support can be performed in a veno-arterial configuration to support cardiopulmonary dysfunction, or veno-venous configuration if cardiac function is satisfactory but pulmonary function is limiting. In this case you are asked to cannulate an obese 36-year-old man with ARDS for veno-venous ECMO at the bedside. Initially planning to use a double-lumen catheter from the neck, the patient's ventricular dysrhythmias associated with passing a wire convinced you that an alternate approach will be safer and you proceed with cannulating the right internal jugular vein and right femoral vein for inflow and outflow respectively. The options for cannulating for veno-venous ECMO and associated complexities are reviewed.
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Hull, T., Funamoto, M. (2022). Veno-venous ECMO. In: Sundt, T.M., Cameron, D.E., Lee, M.E. (eds) Near Misses in Cardiac Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-92750-9_42
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DOI: https://doi.org/10.1007/978-3-030-92750-9_42
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