Extra corporal membrane oxygenation in general thoracic surgery: a new single veno-venous cannulation

Redha Souilamas,Reem Kanaan,Jihane I Souilamas,Khalid Alkhamees,Jean-Pierre Hubsch,Yves Ollivier,Jean-Claude Boucherie,Mauricio Sauesserig

doi:10.1186/1749-8090-6-52

Abstract

Extracorporeal membrane oxygenation (ECMO) is used in severe respiratory failure to maintain adequate gas exchange. So far, this technique has not been commonly used in general thoracic surgery. We present a case using ECMO for peri-operative airway management for pulmonary resection, using a novel single-site, internal jugular, veno-venous ECMO cannula.

Highlights

Extracorporeal membrane oxygenation (ECMO) is used in severe respiratory failure to maintain adequate gas exchange
A multidisciplinary decision was made to proceed with pulmonary resection under peri-operative VV-ECMO support with the Avalon cannula
This strategy made it possible to cease lung ventilation during surgery and created an option to bridge the patient to transplantation in case of postoperative respiratory failure

Summary

Introduction

Extracorporeal membrane oxygenation (ECMO) is used in severe respiratory failure to maintain adequate gas exchange. Lung transplantation was discussed but the patient was not listed because she did not have respiratory endstage disease. A multidisciplinary decision was made to proceed with pulmonary resection under peri-operative VV-ECMO support with the Avalon cannula.

Results

Conclusion