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Updated: Jan 7, 2026

Lung Rapid Recovery Procurement Combined with Abdominal Normothermic Regional Perfusion in Controlled Donation after Circulatory Death
Published on: August 15, 2022
Safety of ECMO Cannulation: Organization and Standardized Training Matters
Simon Wai Ching Sin1, Jacky Yung Suen2, Pauline Pui Ning Ng Yeung1
1Critical Care Medicine Unit, School of Clinical Medicine, The University of Hong Kong, Pokfulam, Hong Kong.
Abstract:
This letter responds to the systematic review and meta-analysis by Ryota et al, which examines the safety profile of ECMO cannulation performed by intensivists. The authors report an overall complication rate of 2% per cannula and 5% per patient, with higher rates observed in VA ECMO compared to VV ECMO. We emphasized that the safety of ECMO cannulation is multifactorial, influenced by institutional infrastructure, structured training programs, adherence to protocols, credentialing standards, and quality improvement initiatives. Although procedural volume and surgical backup are important, standardization of training curricula and institutional policies play a pivotal role in optimizing safety.
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