Technique for Weaning From Peripheral Venopulmonary Extracorporeal Membrane Oxygenation in Combined Cardiopulmonary Failure-Reference-Cited by-同舟云学术

Technique for Weaning From Peripheral Venopulmonary Extracorporeal Membrane Oxygenation in Combined Cardiopulmonary Failure

Published:2024-06-25 Issue: Volume: Page:
ISSN:1058-2916
Container-title:ASAIO Journal
language:en
Short-container-title:

Author:

Brewer J. Michael¹,Maybauer Marc O.²³⁴^ORCID

Affiliation:

1. the Nazih Zuhdi Transplant Institute, Specialty Critical Care and Acute Circulatory Support Service, INTEGRIS Health Baptist Medical Center, Oklahoma City, Oklahoma

2. Division of Critical Care Medicine, Department of Anesthesiology, University of Florida, Gainesville, Florida

3. Department of Anaesthesiology and Intensive Care Medicine, Philipps University, Marburg, Germany

4. Critical Care Research Group, The Prince Charles Hospital, University of Queensland, Brisbane, Australia.

Abstract

Venopulmonary (VP) extracorporeal membrane oxygenation (ECMO) is a mode capable of supporting both pulmonary and right ventricular (RV) functions. Weaning patients from VP ECMO requires careful assessment of both RV and respiratory system recovery, which may occur at different rates. The weaning strategy described herein begins with weaning of respiratory ECMO support, followed by discontinuation of RV support. We also discuss situations in which the standard weaning strategy may require modification.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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