Inferior vena cava surgical cannulation for infants needing veno-venous extracorporeal membrane oxygenation.
Perfusion
; 37(2): 128-133, 2022 Mar.
Article
em En
| MEDLINE
| ID: mdl-33412989
ABSTRACT
INTRODUCTION:
Femoral cannulation for veno-venous extracorporeal membrane oxygenation is challenging in infants because of the diameter of the vein. CASE REPORT Prolonged ECMO support (67 days) was necessary for an 8-month-old (8 kg) girl with acute respiratory distress syndrome that was caused by H1N1 influenza. After 30 days on ECMO support and using a single 16 Fr double-lumen cannula (internal jugular vein), a second cannula was necessary to ensure adequate flow. This second 12 Fr single-lumen cannula was surgically placed through the right common iliac vein. An excellent flow profile was then achieved and ECMO continued successfully for 37 more days.DISCUSSION:
As a lifesaving option, this double caval configuration successfully optimized the flow profile and oxygenation, outweighing the related risks.CONCLUSION:
In small children, a surgical approach to the inferior vena cava can be considered safe, especially in those cases where there is a shortage of adequate cannulas, or when central venous access is difficult.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Oxigenação por Membrana Extracorpórea
/
Vírus da Influenza A Subtipo H1N1
Limite:
Child
/
Female
/
Humans
/
Infant
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article