Extracorporeal membrane oxygenation with subclavian artery cannulation in awake patients with pulmonary hypertension

Mauer Biscotti, Emily Vail, Keith E. Cook, Bessie Kachulis, Erika B. Rosenzweig, Matthew Bacchetta

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

Pulmonary hypertension (PH) is a challenging disease process to manage. Respiratory and hemodynamic changes that accompany general anesthesia lead to a significant risk of cardiovascular collapse. Certain cases of decompensated PH require extracorporeal membrane oxygenation (ECMO) support as either a bridge to lung transplantation or bridge to recovery. Performing ECMO cannulation without intubation or general anesthesia in these patients may be safer given the severity of their underlying disease process. We present three cases of upper body ECMO cannulation performed on patients with pulmonary hypertension while awake and without mechanical ventilation. ASAIO Journal 2014; 60:748-750.

Original languageEnglish (US)
Pages (from-to)748-750
Number of pages3
JournalASAIO Journal
Volume60
Issue number6
DOIs
StatePublished - Jan 1 2014
Externally publishedYes

Keywords

  • Extracorporeal membrane oxygenation
  • Monitored anesthesia care

ASJC Scopus subject areas

  • Biophysics
  • Bioengineering
  • Biomaterials
  • Biomedical Engineering

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