Bedside cannulation for veno-venous extracorporeal membrane oxygenation using portable X-ray system in a coronavirus disease patient. Issue 3 (March 2022)

• Record Type: Journal Article
• Authors: Kondo, Toru; Kuwayama, Tasuku; Hiraiwa, Hiroaki; Kasugai, Daisuke; Goto, Yukari; Numaguchi, Atsushi; Katsu, Toshihiko; Matsui, Toshinori; Hashimoto, Naozumi; Tanaka, Akihito; Morimoto, Ryota; Okumura, Takahiro; Murohara, Toyoaki
• Is Part Of: Journal of cardiology cases. Volume 25:Issue 3(2022)
• Page Start: 185
• Page End: 187
• Publication Date: 2022-03
• Subjects: Extracorporeal membrane oxygenation -- COVID-19 -- Intensive care unit -- Portable X-ray system -- Cannula -- Catheterization; Cardiology -- Periodicals; Cardiovascular Diseases -- Case Reports; Cardiovascular Diseases -- Periodicals; Cardiology -- Case Reports; Cardiology -- Periodicals; Cardiology; Electronic journals; Periodicals; 616.12
• DOI: 10.1016/j.jccase.2021.09.008
• Languages: English
• ISSNs: 1878-5409

Abstract

Abstract: Transportation of patients with coronavirus disease (COVID)-19 outside isolation rooms should be avoided to prevent further spread of the disease. Here, we report a safe and accurate bedside cannulation method for veno-venous extracorporeal membrane oxygenation (VV-ECMO) in a COVID-19 patient in the intensive care unit. A 71-year-old man was admitted to our hospital and diagnosed as having COVID-19 pneumonia. We decided to initiate VV-ECMO therapy because maintaining blood oxygen saturation was difficult despite the mechanical ventilation. We placed two flat-panel detectors behind the patient's chest and the right inguinal area. We repeatedly imaged and monitored insertion of wires and cannulas using a portable X-ray system. Cannulas were successfully inserted in the appropriate position, and VV-ECMO was initiated without any complications. <Learning objective: Transportation of patients with coronavirus disease outside isolation rooms carries the risk of further spread of the disease. By repeatedly acquiring images using a portable X-ray system, safe and accurate cannulation for veno-venous extracorporeal membrane oxygenation cannulation can be performed at the bedside in the intensive care unit.>