title: Extracorporeal membrane oxygenation with subclavian artery cannulation in awake patients with pulmonary hypertension.
abstract: Pulmonary hypertension (PH) is a challenging disease process to manage. Respiratory and hemodynamic changes that accompany general anesthesia lead to a significant risk of cardiovascular collapse. Certain cases of decompensated PH require extracorporeal membrane oxygenation (ECMO) support as either a bridge to lung transplantation or bridge to recovery. Performing ECMO cannulation without intubation or general anesthesia in these patients may be safer given the severity of their underlying disease process. We present three cases of upper body ECMO cannulation performed on patients with pulmonary hypertension while awake and without mechanical ventilation.
authors: From the *Department of Cardiothoracic Surgery; †Department of Anesthesiology, New York Presbyterian Hospital/Columbia University Medical Center, New York, NY; ‡Department of Biomedical Engineering, Carnegie Mellon University, Pittsburgh, PA; and §Department of Pediatric Cardiology, Columbia University Medical Center, New York, NY.
authors: Mauer
authors: M
authors: Biscotti
authors: Emily
authors: E
authors: Vail
authors: Keith E
authors: KE
authors: Cook
authors: Bessie
authors: B
authors: Kachulis
authors: Erika B
authors: EB
authors: Rosenzweig
authors: Matthew
authors: M
authors: Bacchetta
mesh_terms: D000328:Adult; D000758:Anesthesia / Q000379:methods; D002404:Catheterization / Q000379:methods; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D006976:Hypertension, Pulmonary / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D016040:Lung Transplantation; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013348:Subclavian Artery / Q000601:surgery; D016896:Treatment Outcome; D055815:Young Adult