From the Department of Surgery, University of Michigan, Ann Arbor, Michigan; and Michigan Medicine ECMO Program, Ann Arbor, Michigan.
ASAIO J. 2019 Aug;65(6):628-630. doi: 10.1097/MAT.0000000000000853.
Ambulation while on extracorporeal membrane oxygenation (ECMO) is critical to facilitate native pulmonary recovery for patients with acute respiratory failure and is a prerequisite for listing for lung transplantation to achieve optimal outcomes. The development of a bicaval dual-lumen cannula capable of providing venovenous (VV) ECMO support via the internal jugular vein has greatly facilitated ambulation and rehabilitation programs. But cannula dislodgement is a serious concern with ambulation and rehabilitation, especially when minor cannula migration can significantly impact VV-ECMO flow. We review an optimal technique to secure dual-lumen cannula to facilitate early mobility, ambulation, and rehabilitation and prevent ECMO cannula dislodgement.
体外膜肺氧合（ECMO）期间的活动对于促进急性呼吸衰竭患者的肺功能恢复至关重要，也是进行肺移植以获得最佳效果的前提。双腔颈内静脉插管的出现，为通过颈内静脉提供静脉-静脉（VV）ECMO 支持提供了便利，极大地促进了患者的活动和康复计划。但在进行活动和康复时，插管移位是一个严重的问题，尤其是当轻微的插管迁移会显著影响 VV-ECMO 流量时。我们将回顾一种最佳的插管固定技术，以促进早期活动、行走和康复，并防止 ECMO 插管移位。
