Conversion From Venovenous to Venoarterial or Hybrid Extracorporeal Membrane Oxygenation

De Piero, M., Alessandri, F., Mariani, S., Di Mauro, M., Alunni Fegatelli, D., Pugliese, F., Ravaux, J., Brodie, D., Abrams, D., Broman, L., Mueller, T., Taccone, F., Belliato, M., Dos Reis Miranda, D., Swol, J., Malfertheiner, M., Kowalewski, M., Peek, G., Hou, X., Fraser, J., MacLaren, G., Tonna, J., Di Nardo, M., Lorusso, R. Critical Care Medicine DOI: 10.1097/CCM.0000000000007027

Abstract: Venovenous extracorporeal membrane oxygenation (ECMO) represents a standard and well-accepted modality of treating patients with refractory respiratory failure. Nevertheless, some patients might develop refractory hypoxemia, hemodynamic compromise or end-organ perfusion requiring a change. This study analyzed characteristics and outcomes of patients requiring a change from venovenous to a different ECMO configuration.