From: The use of double lumen cannula for veno-venous ECMO in trauma patients with ARDS
Veno-venous ECMO | |
---|---|
femoral-jugular cannulation | double lumen cannula |
PROs | PROs |
High blood flow 6–7 L/min possible, No fluoroscopy needed for cannulation, Bedside cannulation possible, Heparin free run possible, Suitable for patients with high risk of bleeding | More comfortable for awake patients, Less or no sedation and less pain medication necessary, Fully mobilization, sitting and walking possible |
CONTRAs | CONTRAs |
Risk of femoral cannula kinking during mobilization, Less comfortable for patients, More pain medication, eventually sedation necessary | Fluoroscopy recommended for cannulation, less risk of malposition, bed-side cannulation with high risk with echocardiography possible, pTT 50–60 s needed, not suitable for bleeding patients, patients with severe brain injury or high bleeding risk patients, maximal blood flow about 5 L/min with 31 F cannula |