Resumen

MANZUR-SANDOVAL, Daniel; GARCIA-CRUZ, Edgar; NAVARRO-MARTINEZ, Daniel Alejandro  y  MIER Y TERAN-MORALES, Elisa. Focused transesophageal echocardiography to guide double cannulation in venous-venous ECMO during COVID-19 pandemic. Neumol. cir. torax [online]. 2022, vol.81, n.3, pp.201-204.  Epub 08-Dic-2023. ISSN 0028-3746.  https://doi.org/10.35366/111093.

The usage of transesophageal echocardiogram as a guide for positioning cannulas of extracorporeal membrane oxygenation, has become controversial. While extracorporeal membrane oxygenation is largely recommended as a rescue maneuver in patients with COVID-19 who undergo acute respiratory distress syndrome, the usage of transesophageal echocardiogram is not recommended by the American Society of Echocardiography due to the high transmission rate from this pathogen. However, transthoracic echocardiogram has important limitations in patients with acute respiratory distress syndrome that make transesophageal echocardiogram necessary under such circumstances. In this case report, we review the case of a 38-year-old male with severe acute respiratory distress syndrome due to COVID-19 that was started on venous-venous extracorporeal membrane oxygenation. We also describe how the extracorporeal membrane oxygenation team of our institution performs a low-risk focused transesophageal echocardiogram-guided venous-venous extracorporeal membrane oxygenation cannulation adapting to the World Health Organization recommendations on personal protective equipment and the Extracorporeal Life Support Organization recommendations on extracorporeal membrane oxygenation cannulation.

Palabras llave : extracorporeal membrane oxygenation; transesophageal echocardiogram; COVID-19; cannulation; acute respiratory distress syndrome.

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