Article Abstract

Femoro-jugular cannulation in veno-venous extracorporeal membrane oxygenation PRO/CON

Authors: Martina Crivellari, Federico Pappalardo

Abstract

Veno-venous (VV) extracorporeal membrane oxygenation (ECMO) is the most efficient
technique for respiratory support. It is based on a patient adequate circulation and cardiac function and it is
indicated for isolated lung failure after optimization of the ventilatory support and the medical treatment. We
describe PRO and CONs of the the Femoro-jugular (F>J) approach, as an ideal setting for patients which
require high flow (>5 L/min), such as those with extreme hypoxemia and/or septic shock. This technique can
be accomplished very quickly at the bedside also in an unstable patient.