The Role of Echocardiography in Extracorporeal Membrane Oxygenation

Purpose of Review Extracorporeal membrane oxygenation (ECMO) is increasingly used to temporarily support patients in severe circulatory and/or respiratory failure. Echocardiography is a core component of successful ECMO deployment. Herein, we review the role of echocardiography at different phases on extracorporeal support including candidate identification, cannulation, maintenance, complication vigilance, and decannulation. Recent Findings During cannulation, ultrasound is used to confirm intended vascular access and appropriate inflow cannula positioning. While on ECMO, echocardiographic evaluation of ventricular loading conditions and hemodynamics, cannula positioning, and surveillance for intracardiac or aortic thrombi is needed for complication mitigation. Summary Echocardiography is crucial during all phases of ECMO use. Specific echocardiographic queries depend on the ECMO type, V-V, or V-A, and the specific cannula configuration strategy employed..

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:25

Enthalten in:

Current cardiology reports - 25(2022), 1 vom: 26. Dez., Seite 9-16

Sprache:

Englisch

Beteiligte Personen:

Hockstein, Maxwell A. [VerfasserIn]
Singam, Narayana Sarma [VerfasserIn]
Papolos, Alexander I. [VerfasserIn]
Kenigsberg, Benjamin B. [VerfasserIn]

Links:

Volltext [lizenzpflichtig]

BKL:

44.85$jKardiologie$jAngiologie

Themen:

Critical care cardiology
Echocardiography
Extracorporeal membrane oxygenation
Mechanical circulatory support
Point-of-care ultrasound

Anmerkungen:

© The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

doi:

10.1007/s11886-022-01827-w

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC213337938X