Central Line Placement at ECMO Decannulation: A Missed Opportunity

Retrospective study of 65 pediatric ECMO patients shows only 31% received central venous lines at decannulation, yet 40% of those without lines required one within 30 days. Lines placed at decannulation had high functionality (85%) with no infectious complications, suggesting decannulation presents an underutilized opportunity for safe central access placement in patients likely to need ongoing support.