Cannulation of neonates for venovenous extracorporeal life support.
Venovenous access via a double-lumen cannula in the right internal jugular vein is the extracorporeal life support mode of choice for neonates with respiratory failure. We report a simplified method of cannulation. The advantages of this "semi-Seldinger" method include the ability to cannulate without ligating the internal jugular vein, and to adjust the position of the cannula and decannulate without re-exploring the wound.
Peek
G J
GJ
Department of Cardiothoracic Surgery, Glenfield Hospital, Leicester, United Kingdom.
Firmin
R K
RK
Moore
H M
HM
Sosnowski
A W
AW
D006328:Cardiac Catheterization; D002405:Catheterization, Central Venous / Q000295:instrumentation / Q000379:methods*; D004106:Dilatation / Q000295:instrumentation; D004867:Equipment Design; D005112:Extracorporeal Circulation / Q000295:instrumentation*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007601:Jugular Veins; D008297:Male; D009339:Needles; D012131:Respiratory Insufficiency / Q000628:therapy*