Weaning assessment of veno-arteriovenous (V-AV) extracorporeal membrane oxygenation (ECMO)

Intensive Care Med Exp. 2023 Aug 1;11(1):47. doi: 10.1186/s40635-023-00538-y.

Abstract

Currently, there is a lack of methods for simultaneous assessment of readiness for decannulation of the veno-venous (V-V) and veno-arterial (V-A) components during veno-arteriovenous (V-AV) extracorporal membrane oxygenation (ECMO) support. We describe a novel approach using a simultaneous off-sweep and controlled backflow test to assess readiness for decannulation from V-AV ECMO. This method needs testing in future clinical trials.

Keywords: Back flow; Off-sweep; V-AV ECMO; Weaning.