Risk of harlequin syndrome during bi-femoral peripheral VA-ECMO: should we pay more attention to the watershed or try to change the venous cannulation site?

Authors’ response Risk of harlequin syndrome during bi-femoral peripheral VA-ECMO: should we pay more attention to the watershed or try to change the venous cannulation site?—authors’ reply Buchtele N, Staudinger T, Schörgenhofer C, Schwameis M We want to thank Honoré et al. for their important comm...

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Published in:Critical care (London, England) England), 2020-07, Vol.24 (1), p.1-450, Article 450
Main Authors: Honore, Patrick M, Barreto Gutierrez, Leonel, Kugener, Luc, Redant, Sebastien, Attou, Rachid, Gallerani, Andrea, De Bels, David
Format: Article
Language:English
Subjects:
Critical care
Hypoxia
Letter
Ultrasonic imaging
Watersheds
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Summary:Authors’ response Risk of harlequin syndrome during bi-femoral peripheral VA-ECMO: should we pay more attention to the watershed or try to change the venous cannulation site?—authors’ reply Buchtele N, Staudinger T, Schörgenhofer C, Schwameis M We want to thank Honoré et al. for their important comments concerning our recently published article [1]. Limited neck accessibility (need for bag-valve-mask ventilation and concomitant performance of transesophageal echocardiography) and an increased bleeding risk (due to resuscitation-related coagulopathy, pre-clinical anticoagulation, or thrombolytic treatment), especially in cardiac arrest, may alter the safety and feasibility of SVC cannulation. Pulse pressure tracing and arterial blood gas analysis from both upper extremities are commonly performed, but may lack reliability.
ISSN:1364-8535
1364-8535
1366-609X
1466-609X
DOI:10.1186/s13054-020-03168-y