INTRODUCTION: There is growing interest and application of extracorporeal membrane oxygenation (ECMO) as a life-saving procedure for out-of-hospital cardiac arrest (OHCA), also called extracorporeal life support (ECLS). Extracorporeal membrane oxygenation cannulation with ongoing chest compressions is challenging, and transesophageal echocardiography (TEE) is an invaluable tool with which to guide ECMO wire guidance and cannula positioning. METHODS: We describe our protocol for TEE guidance by emergency physicians in our hospital. RESULTS: Of our first 12 cases of ECLS, 10 have had TEE guidance by an emergency physician with successful placement and without complication or need for repositioning. Emergency physician-performed TEE for ECLS vascular cannula placement has been both feasible and useful in our experience and warrants further study.
INTRODUCTION: There is growing interest and application of extracorporeal membrane oxygenation (ECMO) as a life-saving procedure for out-of-hospital cardiac arrest (OHCA), also called extracorporeal life support (ECLS). Extracorporeal membrane oxygenation cannulation with ongoing chest compressions is challenging, and transesophageal echocardiography (TEE) is an invaluable tool with which to guide ECMO wire guidance and cannula positioning. METHODS: We describe our protocol for TEE guidance by emergency physicians in our hospital. RESULTS: Of our first 12 cases of ECLS, 10 have had TEE guidance by an emergency physician with successful placement and without complication or need for repositioning. Emergency physician-performed TEE for ECLS vascular cannula placement has been both feasible and useful in our experience and warrants further study.
Authors: Alexander Sacha C Richardson; Joseph E Tonna; Vinodh Nanjayya; Paul Nixon; Darryl C Abrams; Lakshmi Raman; Stephen Bernard; Simon J Finney; Brian Grunau; Scott T Youngquist; Stephen H McKellar; Zachary Shinar; Jason A Bartos; Lance B Becker; Demetris Yannopoulos; Jan Bˇelohlávek; Lionel Lamhaut; Vincent Pellegrino Journal: ASAIO J Date: 2021-03-01 Impact factor: 3.826
Authors: Robert F Reardon; Elliott Chinn; Dave Plummer; Andrew Laudenbach; Andie Rowland Fisher; Will Smoot; Daniel Lee; Joseph Novik; Barrett Wagner; Chris Kaczmarczyk; Johanna Moore; Emily Thompson; Craig Tschautscher; Teresa Dunphy; Thomas Pahl; Michael A Puskarich; James R Miner Journal: Acad Emerg Med Date: 2021-11-06 Impact factor: 5.221
Authors: Christoph Salewski; Attila Nemeth; Rodrigo Sandoval Boburg; Rafal Berger; Hasan Hamdoun; Hannes Frenz; Sebastian Spintzyk; Julia Kelley Hahn; Christian Schlensak; Tobias Krüger Journal: BMC Med Educ Date: 2022-03-16 Impact factor: 2.463