Inferior vena cava surgical cannulation for infants needing veno-venous extracorporeal membrane oxygenation.
| Autor: | Martucci, Gennaro, di Francesco, Fabrizio, Panarello, Giovanna, Piazza, Marcello, de Ville de Goyet, Jean, Arcadipane, Antonio |
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| Předmět: |
ADULT respiratory distress syndrome treatment
INFERIOR vena cava surgery H1N1 influenza TRACHEOTOMY PATIENT aftercare CHEST X rays MEDICAL device removal CENTRAL venous catheterization PERIPHERALLY inserted central catheters EXTRACORPOREAL membrane oxygenation ADULT respiratory distress syndrome ARTIFICIAL respiration MEDICAL instrument maintenance CATHETERIZATION DISEASE complications |
| Zdroj: | Perfusion; Mar2022, Vol. 37 Issue 2, p128-133, 6p |
| Abstrakt: | Introduction: Femoral cannulation for veno-venous extracorporeal membrane oxygenation is challenging in infants because of the diameter of the vein. Case report: Prolonged ECMO support (67 days) was necessary for an 8-month-old (8 kg) girl with acute respiratory distress syndrome that was caused by H1N1 influenza. After 30 days on ECMO support and using a single 16 Fr double-lumen cannula (internal jugular vein), a second cannula was necessary to ensure adequate flow. This second 12 Fr single-lumen cannula was surgically placed through the right common iliac vein. An excellent flow profile was then achieved and ECMO continued successfully for 37 more days. Discussion: As a lifesaving option, this double caval configuration successfully optimized the flow profile and oxygenation, outweighing the related risks. Conclusion: In small children, a surgical approach to the inferior vena cava can be considered safe, especially in those cases where there is a shortage of adequate cannulas, or when central venous access is difficult. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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