Related Experiment Video
Updated: Jan 18, 2026
03:40
Point-of-Care Ultrasound for Peripheral Veno-Arterial Extracorporeal Membrane Oxygenation Without Left Ventricular Venting
Published on: January 17, 2025
798
Extracorporeal Membrane Oxygenation Cannulation by Intensivists: A Systematic Review and Meta-Analysis.
Ryota Sato1, Natsumi Hamahata2,3, Daisuke Hasegawa4
1Division of Critical Care Medicine, Department of Medicine, The Queen's Medical Center, Honolulu, HI, USA.
Journal of Intensive Care Medicine
|September 8, 2025
Summary
Intensivist-performed extracorporeal membrane oxygenation (ECMO) cannulation shows a low complication rate of 5% per patient. This procedure is safe and feasible with proper training and surgical support.
Area of Science:
- Critical Care Medicine
- Cardiopulmonary Support
- Interventional Procedures
Background:
- Extracorporeal membrane oxygenation (ECMO) is a vital life support therapy.
- The role of intensivists in performing ECMO cannulation is evolving.
- Evidence on the safety and effectiveness of intensivist-led cannulation is needed.
Purpose of the Study:
- To systematically review the evidence on ECMO cannulation performed by intensivists.
- To assess the effectiveness and safety of this practice.
Main Methods:
- Systematic literature search of MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials.
- Inclusion criteria: adult patients, ECMO cannulation by intensivists.
- Random-effects model used to calculate pooled complication rates.
Main Results:
- 12 retrospective studies included from 209 screened.
- Pooled complication rate: 2% per cannula, 5% per patient.
- VA ECMO complication rate: 9% per patient; VV ECMO: 4% per patient.
Conclusions:
- Intensivist-performed ECMO cannulation is safe and feasible.
- Adequate training, credentialing, and surgical backup are crucial.
- This approach supports advanced critical care interventions.
Related Concept Videos
01:23Mechanical Ventilation III: Noninvasive Ventilation
523
Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
Noninvasive Positive-Pressure Ventilation...
523
01:23Mechanical Ventilation II: Invasive Ventilation
646
Ventilators are essential medical equipment used to aid patients with respiratory difficulties. Their primary function is to assist or replace spontaneous breathing by providing mechanical ventilation. There are two general classes of mechanical ventilators: negative-pressure and positive-pressure ventilators.
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
646
01:30Administering Oxygen by Mask
2.2K
Administering Oxygen by Mask
Administering oxygen by mask is a common nursing intervention that provides supplemental oxygen to patients with respiratory distress or chronic lung conditions. This procedure involves delivering oxygen at a specified rate through a face mask connected to an oxygen source.
Equipment
The equipment necessary for this procedure includes:
Administering oxygen by mask is a common nursing intervention that provides supplemental oxygen to patients with respiratory distress or chronic lung conditions. This procedure involves delivering oxygen at a specified rate through a face mask connected to an oxygen source.
Equipment
The equipment necessary for this procedure includes:
2.2K
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
555
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
555
01:29Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
329
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
329
01:16Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
1.9K
Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
1.9K