Individualizes cannulation strategy for extracorporeal membrane oxygenation in adult practice

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Sorokin V. A.

National University of Singapore;

The aim: Review, critically appraise and summarize the existing data on adult ECMO cannulation strategies and circuit configurations. Method: literature review and analysis of existed data tp develop individualized cannulation strategy for adult patient. Result: Literature search revealed more than 300 available publication based on Medline and Pubmed. The various cannulation techniques and related complications are reviewed in detail. Cannulation techniques and cannulation sites should be tailored to specific patient conditions to provide sufficient regional and systemic perfusion, both of which must be comprehensively monitored. Changes in the patient's condition or the development of new organ failure should trigger a re-appraisal of the cannulation strategy and circuit configuration. Conclusion: This dynamic cannulation approach based around the adequacy of end organ perfusion should drive patient and circuit management.

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