A Weaning Protocol for Venovenous Extracorporeal Membrane Oxygenation With a Review of the Literature

Artif Organs. 2018 Jun;42(6):605-610. doi: 10.1111/aor.13087. Epub 2018 Jan 18.

Abstract

Several articles have discussed the weaning process for venoarterial extracorporeal membrane oxygenation; however, there is no published report to outline a standardized approach for weaning a patient from venovenous extracorporeal membrane oxygenation (ECMO). This complex process requires an organized approach and a thorough understanding of ventilator management and ECMO physiology. The purpose of this article is to describe the venovenous ECMO weaning protocol used at our institution as well as provide a review of the literature.

Keywords: -ARDS; -ECMO; -Extracorporeal membrane oxygenation; -Weaning protocol; Venovenous.

Publication types

  • Review

MeSH terms

  • Catheterization / adverse effects
  • Catheterization / instrumentation
  • Catheterization / methods
  • Extracorporeal Membrane Oxygenation / adverse effects
  • Extracorporeal Membrane Oxygenation / instrumentation
  • Extracorporeal Membrane Oxygenation / methods*
  • Humans
  • Lung Injury / etiology
  • Lung Injury / prevention & control
  • Treatment Outcome