ECLS cannulation strategies
Owned by Sacha Rozencwajg
Background
ECLS (ExtraCorporeal Life Support) or ECMO (ExtraCorporeal Membrane Oxygenation) is a temporary haemodynamic and/or respiratory support. Those terms are used rather indifferently, however, technically an ECLS may or may not comprise an oxygenator.
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Main considerations
When considering ECMO as a rescue therapy, several questions should be asked.
What kind of support does my patient need?
Which accesses are available?
If the patient only needs a respiratory support and is haemodynamically stable, VV-ECMO is the configuration needed.
If the patient only needs a cardiac support and is respiratory stable, VA-ECMO is the configuration needed.
In any other cases...
VA-ECMO
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VV-ECMO
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Triple cannulation
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