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Related Concept Videos

Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Updated: Jun 25, 2026

Instrumentation of Near-term Fetal Sheep for Multivariate Chronic Non-anesthetized Recordings
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ECMO cannulation across New England.

Ammar Bhatti1, Chaitan K Narsule1, Michael A Frakes2

  • 1Lahey Hospital and Medical Center, Burlington, MA 01805, USA.

Heart & Lung : the Journal of Critical Care
|February 13, 2025
PubMed
Summary
This summary is machine-generated.

Community hospitals are increasingly performing extracorporeal membrane oxygenation (ECMO) cannulations, including for patients needing extracorporeal cardiopulmonary resuscitation (ECPR). This trend highlights the need for specialized transport and ECMO center support for these critically ill patients.

Keywords:
CannulationCommunity hospitalCritical care transportECMOExtracorporeal membrane oxygenation

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Area of Science:

  • Cardiovascular Medicine
  • Critical Care Medicine
  • Medical Technology

Background:

  • Extracorporeal membrane oxygenation (ECMO) use has risen over 15 years as a rescue therapy.
  • Secondary ECMO transports are increasing as community hospitals cannulate patients without ECMO capabilities.

Purpose of the Study:

  • To analyze trends in ECMO cannulations and the number of cannulating centers.
  • To evaluate changes in extracorporeal cardiopulmonary resuscitation (ECPR) over time.

Main Methods:

  • Retrospective review of inter-facility transports to ECMO centers in Boston.
  • Data collected from 2011 to 2022, encompassing 202 cannulated and transported patients.

Main Results:

  • The number of annual ECMO cannulations increased from 6 in 2011 to 36 in 2019.
  • The number of cannulating centers grew from 3 in 2011 to 14 in 2022.
  • A significant portion of patients (26.4%) required ECMO during cardiopulmonary resuscitation (ECPR), with a similar increasing trend in ECPR cases and sites.

Conclusions:

  • Community-based ECMO cannulations are rising, particularly for high-acuity ECPR patients.
  • The increasing volume of cannulations at non-ECMO centers necessitates improved coordination with transport organizations and ECMO centers to manage this patient population.