Point-of-Care Ultrasound for Peripheral Veno-Arterial Extracorporeal Membrane Oxygenation Without Left Ventricular VentingSubasish Bhowmik 1, Yuriy S. Bronshteyn 2, Aditi Balakrishna 1, John Matthew Bryant 1, Marvin G. Chang 3, David Convissar 4, Loreta Grecu 2, Mandisa Jones 5, Christina Jelly 1
1Department of Anesthesiology, Vanderbilt University Medical Center, 2Department of Anesthesiology, Duke University School of Medicine, Duke University Health System, Durham Veterans Health Administration, 3Department of Anesthesiology, Critical Care, and Pain Medicine, Massachusetts General Hospital, 4Department of Anesthesiology, University of Pittsburgh Medical Center, 5Department of Anesthesiology, Weill Cornell Medical Center
This protocol outlines the use of point-of-care ultrasound (POCUS) to monitor patients on peripheral veno-arterial extracorporeal membrane oxygenation (V-A ECMO) without left ventricular venting. It evaluates left ventricular distension, intracardiac or aortic root thrombus, and identifies useful cardiac POCUS parameters for weaning from V-A ECMO.
