Steps to Enhance Safety of Tracheostomy on ECMO

Grewal, Jatinder; Sutt, Anna‐Liisa; Shekar, Kiran

doi:10.1177/0885066619851074

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2022

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“…The risks of placing a tracheostomy on ECMO in a child may be different from that in adult patients, in whom the practice is more common. In adults and adult-sized children, tracheostomy placement can involve holding anticoagulation surrounding the procedure and percutaneous dilational tracheostomy to minimize bleeding risks (28, 29). In small children however, lower blood flow rates and greater use of VA ECMO for respiratory failure increase the risk for circuit clotting when withholding anticoagulation.…”

Section: Discussionmentioning

confidence: 99%