Technique for Weaning From Peripheral Venopulmonary Extracorporeal Membrane Oxygenation in Combined Cardiopulmonary Failure.
J Michael BrewerMarc O MaybauerPublished in: ASAIO journal (American Society for Artificial Internal Organs : 1992) (2024)
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.
Keyphrases
- extracorporeal membrane oxygenation
- mechanical ventilation
- acute respiratory distress syndrome
- mycobacterium tuberculosis
- respiratory failure
- end stage renal disease
- intensive care unit
- newly diagnosed
- chronic kidney disease
- ejection fraction
- pulmonary hypertension
- peritoneal dialysis
- prognostic factors
- patient reported outcomes