Veno-Arterial-Venous Extracorporeal Membrane Oxygenation in a Critically Ill Patient with Coronavirus Disease 2019

Byun, Joung Hun; Kang, Dong Hoon; Kim, Jong Woo; Kim, Sung Hwan; Moon, Seong Ho; Yang, Jun; Jung, Jae Jun; Cho, Oh-Hyun; Hong, Sun In; Ryu, Beyong Hwan; Park, Hyun Oh; Choi, Jun Young; Jang, Inseok; Kim, Jong Duk; Lee, Chung Eun

doi:10.3390/medicina56100510

Cited by 9 publications

(2 citation statements)

References 6 publications

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“…Tulman, et al, deliberated on the challenges, controversies, and considerations encompassing VV-ECMO, noting its evolving role as a rescue therapy for acute respiratory distress syndrome [50]. Kang, et al, did a case report highlighting veno-arterial-venous ECMO's application in a critically ill patient with COVID-19, showcasing its use in cardiopulmonary failure [51].…”

Section: Extracorporeal Membrane Oxygenationmentioning

confidence: 99%

Extracorporeal Circulation and Venous Hemodynamics: A Literature Review on Physiological Foundations to Clinical Applications

Butt

2023

J Cardiol Cardiovasc Res.

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The venous system constitutes a vital component of the human circulatory system, facilitating the return of deoxygenated blood from tissues and organs back to the heart. During cardiac surgeries while using cardiopulmonary bypass (CPB), a critical step involves diverting venous blood from a cannula through the heart-lung machine, where it undergoes oxygenation before re-entering the arterial circulation. This process demands careful control and management to ensure safe and effective perfusion throughout the body. This research paper offers an exploration of venous drainage strategies in the context of cardiac surgery and other applications of extracorporeal life support. The PRISMA method was employed as the guiding framework for conducting this review. The investigation utilized a qualitative research design to assess the artificial circulation and venous dynamics. Out of 85 selected journal publications, 63 peer-reviewed and evidence-based research works were shortlisted. Through an examination of existing evidence, the author underscores the significance of precise venous cannulation techniques and drainage approaches, underscoring the influence on hemodynamics, clinical outcomes, and potential complications. The study delves into advanced monitoring methods and future prospects within the realm of venous drainage. The insights presented in this review serve as a valuable resource for evidence-based decision-making, ultimately contributing to improved patient outcomes and elevated surgical practices.

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Section: Extracorporeal Membrane Oxygenationmentioning

confidence: 99%

Extracorporeal Circulation and Venous Hemodynamics: A Literature Review on Physiological Foundations to Clinical Applications

Butt

2023

J Cardiol Cardiovasc Res.

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“…Existem alguns mecanismos nos quais a ECMO pode funcionar, dentre eles a venosa, também chamada de ECMO Respiratória, e a venoarterial, também chamada de ECMO Cardíaca, cada qual com recomendações distintas. Quando se está à frente de um quadro de insuficiência respiratória grave prefere-se o mecanismo veno-venoso e em casos de má perfusão com hipotensão e baixo débito cardíaco usa o mecanismo venoarterial (BYUN, 2020;SHINODA, 2021).…”

Section: O Que é Ecmo?unclassified

A Hipertensão De Artéria Pulmonar Pode Servir Como Fator Atenuante Da Gravidade Do Sars-Cov-2?

Duz¹,

Jaeger²,

Figueiredo³

et al. 2021

Medicina: Ciências Da Saúde E Pesquisa Interdisciplinar 5

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Successful management of harlequin syndrome due to pulmonary hemorrhage and atelectasis with VAV- ECMO

Antonogiannakis,

Antonopoulos,

Elaiopoulos

et al. 2023

Perfusion

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Introduction Pulmonary hemorrhage is a life-threatening complication of VA-ECMO occasionally presenting with Harlequin syndrome. Case report We present a case of a VA-ECMO patient complicated with pulmonary hemorrhage, complete right lung atelectasis and differential hypoxia refractory to conventional treatment including optimal mechanical ventilation and bronchoscopy interventions. Patient was successfully managed by conversion of VA to VAV-ECMO. Discussion Pulmonary hemorrhage and atelectasis treatment in a VA-ECMO patient includes transfusion, hold and reversal of anticoagulation, bronchoscopy interventions and optimization of VA-ECMO and ventilator support. Differential hypoxia may ensue due to residual native cardiac function. If refractory to conservative treatment, a VAV-ECMO configuration may be utilized to improve upper body oxygenation by inserting an additional cannula to the superior vena cava. Conclusion VAV-ECMO is an ECMO configuration support in patients at risk of Harlequin syndrome presenting with pulmonary hemorrhage.

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Veno-Arterial-Venous Extracorporeal Membrane Oxygenation in a Critically Ill Patient with Coronavirus Disease 2019

Cited by 9 publications

References 6 publications

Extracorporeal Circulation and Venous Hemodynamics: A Literature Review on Physiological Foundations to Clinical Applications

Extracorporeal Circulation and Venous Hemodynamics: A Literature Review on Physiological Foundations to Clinical Applications

A Hipertensão De Artéria Pulmonar Pode Servir Como Fator Atenuante Da Gravidade Do Sars-Cov-2?

Successful management of harlequin syndrome due to pulmonary hemorrhage and atelectasis with VAV- ECMO

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