Bedside cannulation for veno-venous extracorporeal membrane oxygenation using portable X-ray system in a coronavirus disease patient

Toru Kondo, Tasuku Kuwayama, Hiroaki Hiraiwa, Daisuke Kasugai, Yukari Goto, Atsushi Numaguchi, Toshihiko Katsu, Toshinori Matsui, Naozumi Hashimoto, Akihito Tanaka, Ryota Morimoto, Takahiro Okumura, Toyoaki Murohara

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

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.>

Original languageEnglish
Pages (from-to)185-187
Number of pages3
JournalJournal of Cardiology Cases
Volume25
Issue number3
DOIs
Publication statusPublished - 03-2022
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

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