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Review

Echocardiographic and Point-of-Care Ultrasonography (POCUS) Guidance in the Management of the ECMO Patient

by
Stephanie Cha
* and
Megan P. Kostibas
Department of Anesthesiology & Critical Care Medicine, Johns Hopkins University School of Medicine, 1800 Orleans Street Suite 6216, Baltimore, MD 21287, USA
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2024, 13(9), 2630; https://doi.org/10.3390/jcm13092630
Submission received: 15 March 2024 / Revised: 12 April 2024 / Accepted: 15 April 2024 / Published: 30 April 2024
(This article belongs to the Special Issue Clinical Advances in Extracorporeal Membrane Oxygenation (ECMO))
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Abstract

Veno-arterial (V-A) and Veno-venous (V-V) extracorporeal membrane oxygenation (ECMO) support is increasingly utilized for acute cardiogenic shock and/or respiratory failure. Echocardiography and point-of-care ultrasonography (POCUS) play a critical role in the selection and management of these critically ill patients, however, there are limited guidelines regarding their application. This comprehensive review describes current and potential application of echocardiography and POCUS for pre-ECMO assessment and patient selection, cannulation guidance with emphasis on dual-lumen configurations, diagnosis of ECMO complications and trouble-shooting of cannula malposition, diagnosis of common cardiac or pulmonary pathologies, and assessment of ECMO weaning appropriateness including identification of the aortic mixing point in V-A ECMO.
Keywords: ECMO; echocardiography; POCUS; vascular access; ARDS; cardiogenic shock; mechanical circulatory support ECMO; echocardiography; POCUS; vascular access; ARDS; cardiogenic shock; mechanical circulatory support

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MDPI and ACS Style

Cha, S.; Kostibas, M.P. Echocardiographic and Point-of-Care Ultrasonography (POCUS) Guidance in the Management of the ECMO Patient. J. Clin. Med. 2024, 13, 2630. https://doi.org/10.3390/jcm13092630

AMA Style

Cha S, Kostibas MP. Echocardiographic and Point-of-Care Ultrasonography (POCUS) Guidance in the Management of the ECMO Patient. Journal of Clinical Medicine. 2024; 13(9):2630. https://doi.org/10.3390/jcm13092630

Chicago/Turabian Style

Cha, Stephanie, and Megan P. Kostibas. 2024. "Echocardiographic and Point-of-Care Ultrasonography (POCUS) Guidance in the Management of the ECMO Patient" Journal of Clinical Medicine 13, no. 9: 2630. https://doi.org/10.3390/jcm13092630

APA Style

Cha, S., & Kostibas, M. P. (2024). Echocardiographic and Point-of-Care Ultrasonography (POCUS) Guidance in the Management of the ECMO Patient. Journal of Clinical Medicine, 13(9), 2630. https://doi.org/10.3390/jcm13092630

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