{
    "abstract": "The cannulation technique used during veno-venous extracorporeal membrane oxygenation (VV ECMO) insertion can have a major impact on a patients' overall outcome. We have developed a technique that aims to combine speed and effectiveness, with minimal risk. The steps include: (I) percutaneous cannulation using the Seldinger technique; (II) ultrasound guided access and positioning of cannulas; (III) femoro-femoral circuit configuration with a later option of high flow; (IV) a no skin cut serial dilation technique; (V) non-suturing securing of cannulas and (VI) a non-surgical manual pressure technique of explantation. The following is a discussion around these techniques and their various advantages and disadvantages.",
    "authors": [
        {
            "affiliation": "Department of Intensive Care, The Alfred Hospital, Melbourne, Victoria, Australia.\nDepartment of Epidemiology and Preventative Medicine, Monash University, Melbourne, Victoria, Australia.",
            "firstname": "Aidan J C",
            "initials": "AJC",
            "lastname": "Burrell"
        },
        {
            "affiliation": "Department of Intensive Care, The Alfred Hospital, Melbourne, Victoria, Australia.\nDepartment of Epidemiology and Preventative Medicine, Monash University, Melbourne, Victoria, Australia.",
            "firstname": "Joshua F",
            "initials": "JF",
            "lastname": "Ihle"
        },
        {
            "affiliation": "Department of Intensive Care, The Alfred Hospital, Melbourne, Victoria, Australia.\nDepartment of Epidemiology and Preventative Medicine, Monash University, Melbourne, Victoria, Australia.",
            "firstname": "Vincent A",
            "initials": "VA",
            "lastname": "Pellegrino"
        },
        {
            "affiliation": "Department of Intensive Care, The Alfred Hospital, Melbourne, Victoria, Australia.",
            "firstname": "Jayne",
            "initials": "J",
            "lastname": "Sheldrake"
        },
        {
            "affiliation": "Department of Intensive Care, The Alfred Hospital, Melbourne, Victoria, Australia.\nDepartment of Epidemiology and Preventative Medicine, Monash University, Melbourne, Victoria, Australia.",
            "firstname": "Paul T",
            "initials": "PT",
            "lastname": "Nixon"
        }
    ],
    "conclusions": null,
    "copyrights": null,
    "doi": "10.21037/jtd.2018.03.83\n10.21037/jtd.2016.04.42\n10.1177/1089253209347943\n10.1097/CCM.0000000000001288\n10.21037/jtd.2016.12.88\n10.1186/1471-2253-14-65\n10.1007/s00134-012-2785-8\n10.1016/S0022-5223(98)70170-9\n10.1007/s00134-014-3427-0\n10.1016/S0003-4975(99)01227-8\n10.1186/s13054-015-0994-6\n10.1097/MAT.0000000000000179\n10.1056/NEJMoa1500964\n10.1053/j.jvca.2012.02.001\n10.1097/CCM.0000000000000883\n10.1097/ALN.0b013e31827bd172\n10.1016/j.athoracsur.2011.02.018\n10.1016/j.echo.2011.11.009\n10.1186/s13054-017-1814-y\n10.1111/jocs.12678\n10.1002/ccd.27003",
    "journal": "Journal of thoracic disease",
    "keywords": [
        "Veno-venous extracorporeal membrane oxygenation (VV ECMO)",
        "acute respiratory distress syndrome (ARDS)",
        "cannula",
        "ultrasound-guided"
    ],
    "methods": null,
    "publication_date": "2018-05-08",
    "pubmed_id": "29732179\n27195133\n19736214\n26575679\n28149575\n25110462\n23291732\n9766592\n25102987\n10654547\n26160033\n25423117\n26398070\n22503344\n25746749\n23249991\n21550582\n22169046\n28844205\n26811838\n26667392\n28303670",
    "results": null,
    "title": "Cannulation technique: femoro-femoral.",
    "xml": "<Element 'PubmedArticle' at 0x788503e88450>"
}