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Veno-venous extracorporeal membrane oxygenation (VV ECMO) cannula malposition identified with point-of-care ultrasound
Journal article   Open access   Peer reviewed

Veno-venous extracorporeal membrane oxygenation (VV ECMO) cannula malposition identified with point-of-care ultrasound

Taylor Becker, Roger D Struble and Charles Rappaport
The ultrasound journal, Vol.16(1), pp.27-27
05/08/2024
DOI: 10.1186/s13089-024-00357-6
PMCID: PMC11078911
PMID: 38717534
url
https://doi.org/10.1186/s13089-024-00357-6View
Published (Version of record) Open Access

Abstract

Point-of-care ultrasound (POCUS) has become a mainstay in the evaluation of critically ill patients in the intensive care unit (ICU). ECMO patients are susceptible to complications during prolonged ICU stay, including cannula malposition, which has deleterious consequences. Although the literature surrounding utility of ultrasound on ECMO patients is expansive, direct comparison between radiographic imaging versus ultrasound for identification of cannula malposition is lacking. The authors identified four patients with cannula malposition discovered through POCUS that was missed on routine radiographic imaging. Identification and correction of malposition changed their ECMO course. This case series is the first in literature demonstrating that ultrasound may be superior to radiographic images for ECMO cannula malposition. Further investigation into this subject is warranted.
ECMO Point-of-care systems Cannulation Ultrasound case report

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