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A modified technique for insertion of dual lumen bicaval cannulae for venovenous extracorporeal membrane oxygenation

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Abstract

Purpose

Venovenous extracorporeal membrane oxygenation is used increasingly in adults with severe acute reversible respiratory failure. Cannulation is associated with a risk of vascular damage or cardiac perforation.

Methods and results

This report describes a modified technique of insertion for dual lumen bicaval cannulae. We have adopted the technique on 25 occasions and had no incidence of vascular damage or cardiac perforation.

Conclusion

We suggest that the technique may mitigate the risk of guidewire looping during insertion of the dilators/cannula and thereby reduce the risk of perforation of the right ventricle.

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References

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Acknowledgments

The work was supported in part by the NIHR Respiratory Disease Biomedical Research Unit at the Royal Brompton and Harefield NHS Foundation Trust and Imperial College London.

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Authors and Affiliations

  1. Department of Cardiac Surgery, Royal Brompton Hospital, Sydney Street, London, United Kingdom

    Richard H. Trimlett

  2. Department of Critical Care Medicine, Royal Brompton Hospital, Sydney Street, London, United Kingdom

    Jeremy J. Cordingley, Mark J. Griffiths, Susanna Price, David N. Hunter & Simon J. Finney

  3. Adult Intensive Care Unit, Royal Brompton Hospital, Sydney Street, London, SW3 6NP, United Kingdom

    Simon J. Finney

Authors
  1. Richard H. Trimlett
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  2. Jeremy J. Cordingley
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  3. Mark J. Griffiths
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  4. Susanna Price
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  5. David N. Hunter
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  6. Simon J. Finney
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Corresponding author

Correspondence to Simon J. Finney.

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Trimlett, R.H., Cordingley, J.J., Griffiths, M.J. et al. A modified technique for insertion of dual lumen bicaval cannulae for venovenous extracorporeal membrane oxygenation. Intensive Care Med 37, 1036–1037 (2011). https://doi.org/10.1007/s00134-011-2213-5

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  • DOI: https://doi.org/10.1007/s00134-011-2213-5

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