Hemodynamic monitoring during veno-venous extracorporeal membrane oxygenation

Lorusso, R., De Piero, M., Mariani, S., Ravaux, J., Nardelli, P., Jacobs, J., Guarracino, F., Patroniti, N., van Bussel, B., van der Horst, I., Taccone, F., Heinsar, S., Shekar, K., Yamashita, M., Obonyo, N., Ciullo, A., Riera, J., Dalton, H., Wang, A., Zaaqoq, A., MacLaren, G., Ramanathan, K., Suen, J., Li Bassi, G., Sato, K., Fraser, J., Peek, G., Arora, R. Perfusion DOI: 10.1177/02676591261429826

Abstract: In adult patients receiving veno-venous Extracorporeal Membrane Oxygenation (VV ECMO), cardiovascular performance plays a critical role in determining oxygen delivery, organ perfusion and safe titration of extracorporeal support. Despite the increasing VV ECMO use, contemporary guidance on hemodynamic monitoring remains limited and largely experience-based. This scoping review aimed to map available basic and advanced monitoring approaches and to identify current evidence gaps.