Figure 1.
The PROTEK Duo veno-venous cannula (CardiacAssist, Inc.) provides venous drainage and reinfusion of blood through an internal jugular vein while on ECMO support.
Figure 2.
Typical femoral veno-venous cannulation.
Figure 3.
Pharmacy-managed anticoagulation protocol for patients on extracorporeal membrane oxygenation.
Table 2.
Exclusion criteria for extracorporeal membrane oxygenation use at Houston Methodist DeBakey Heart & Vascular Center. Relative contraindications will change according to circumstances or context. SOFA: Sequential Organ Failure Assessment, a score that predicts ICU mortality based on lab results and clinical data; VAD: ventricular assist device; DVT: deep vein thrombosis; PVD: peripheral vascular disease; ICH: intracerebral hemorrhage
Figure 4.
Decrease in mortality at the Houston Methodist DeBakey Heart & Vascular Center achieved by instituting a multidisciplinary team approach. VV: venovenous; VA: venoarterial