Best Practices for Vessel Management in Pediatric Extracorporeal Membrane Oxygenation Cannulation, Decannulation, and Follow-up: A Narrative Review
Topic overview
This narrative review examines best practices for vascular access management throughout the ECMO lifecycle in pediatric patients, from initial cannulation through decannulation and follow-up care. The authors synthesize evidence on cannula site selection, insertion techniques, and complication prevention strategies to guide interventionalists managing iatrogenic vascular injuries in this complex patient population.
Key takeaways
- Vascular complications are common in pediatric ECMO despite preserved survival, requiring careful vessel management strategies.
- Cannula site selection and technique significantly impact iatrogenic vascular injury rates in neonatal and pediatric ECMO patients.
- Decannulation strategy choice affects long-term vascular outcomes and should be evidence-based for each patient population.
- Interventionalists need standardized approaches to prevent and manage ECMO-related vascular complications in children.
- Pediatric ECMO population complexity has increased since the 1970s, necessitating updated vessel management protocols.
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How to cite: GlobalCastMD. Best Practices for Vessel Management in Pediatric Extracorporeal Membrane Oxygenation Cannulation, Decannulation, and Follow-up: A Narrative Review. GlobalCastMD Medical Library. 2024-09-20. https://dev.library.globalcastmd.com/article/9186?via_space=staycurrentmd
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