Top

Intensive Care Medicine

Published in:

Open Access 01-05-2012 | Physiological and Technical Notes

Quantification of recirculation as an adjuvant to transthoracic echocardiography for optimization of dual-lumen extracorporeal life support

Authors: Erik P. J. Körver, Yuri M. Ganushchak, Antoine P. Simons, Dirk W. Donker, Jos G. Maessen, Patrick W. Weerwind

Published in: Intensive Care Medicine | Issue 5/2012

Abstract

Purpose

Proper cannula positioning in single site veno-venous extracorporeal life support (vv-ELS) is cumbersome and necessitates image guidance to obtain a safe and stable position within the heart and the caval veins. Importantly, image-guided cannula positioning alone is not sufficient, as possible recirculation cannot be quantified.

Methods and results

We present an ultrasound dilution technique allowing quantification of recirculation for optimizing vv-ELS.

Conclusion

We suggest quantification of recirculation in addition to image guidance to provide optimal vv-ELS.

Ganslmeier P, Philipp A, Rupprecht L, Diez C, Arlt M, Mueller T, Pfister K, Hilker M, Schmid C (2011) Percutaneous cannulation for extracorporeal life support. Thorac Cardiov Surg 59:103–107CrossRef

Javidar J, Wang D, Zwischenberger JB, Costa J, Mongero L, Sonett J, Bacchetta M (2011) Insertion of bicaval dual lumen extracorporeal membrane oxygenation catheter with image guidance. ASAIO J 57:203–205CrossRef

Bermudez CA, Rocha RV, Sappington PL, Toyoda Y, Murray HN, Boujoukos AJ (2010) Initial experience with single cannulation for venovenous extracorporeal oxygenation in adults. Ann Thorac Surg 90:991–995PubMedCrossRef

Pettignano R, Clark RH, Cornisch JD (2000) Principles and practice of venovenous ECMO. In: Zwischenberger JB, Steinhorn RH, Bartlett RH (eds) ECMO extracorporeal cardiopulmonary support in critical care, 2nd edn. Extracorporeal Life Support. Organization, Ann Arbor

Dolch ME, Frey L, Buerkle MA, Weig T, Wassilowsky D, Irlbeck M (2011) Transesophageal echocardiography-guided technique for extracorporeal membrane oxygenation dual-lumen catheter placement. ASAIO J 57:341–343PubMedCrossRef

Walker J, Primmer J, Searles BE, Darling EM (2007) The potential of accurate SvO2 monitoring during venovenous extracorporeal membrane oxygenation: an in vitro model using ultrasound dilution. Perfusion 22:239–244PubMedCrossRef

van Heijst AF, van der Staak FH, de Haan AF, Liem KD, Festen C, Geven WB, van de Bor M (2001) Recirculation in double lumen catheter veno-venous extracorporeal membrane oxygenation measured by an ultrasound dilution technique. ASAIO J 47:372–376PubMedCrossRef

Clements D, Primmer J, Ryman P, Marr B, Searles B, Darling E (2008) Measurements of recirculation during neonatal veno-venous extracorporeal membrane oxygenation: clinical application of the ultrasound dilution technique. J Extra Corpor Technol 40:184–187PubMed

Krivitski NM, MacGibbon D, Gleed RD, Dobson A (1998) Accuracy of dilution techniques for access flow measurement during hemo-dialysis. Am J Kidney Dis 31:502–508PubMedCrossRef

Title: Quantification of recirculation as an adjuvant to transthoracic echocardiography for optimization of dual-lumen extracorporeal life support
Authors: Erik P. J. Körver
Yuri M. Ganushchak
Antoine P. Simons
Dirk W. Donker
Jos G. Maessen
Patrick W. Weerwind
Publication date: 01-05-2012
Publisher: Springer-Verlag
Published in: Intensive Care Medicine / Issue 5/2012
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-012-2534-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Quantification of recirculation as an adjuvant to transthoracic echocardiography for optimization of dual-lumen extracorporeal life support

Abstract

Purpose

Methods and results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods and results

Conclusion

Please log in to get access to this content

Other articles of this Issue 5/2012

An atypical case of Guillain–Barré syndrome: acute intermittent porphyria

Contrast-induced acute kidney injury: what is the prevalence of prevention protocols?

Real-time ultrasound-guided percutaneous dilatational tracheostomy

David Bennett 1938–2012

Circadian rhythm disruption in severe sepsis: the effect of ambient light on urinary 6-sulfatoxymelatonin secretion

Relative effects of negative versus positive pressure ventilation depend on applied conditions