ECMO in paediatric septic shock: an urgent need for prospective trial

Neurological Outcome According to the Site of Cannulation in Septic Children Supported by Venoarterial Extracorporeal Membrane Oxygenation

“…[1][2][3][4][5] The choice between central atrioaortic and peripheral cannulation remains controversial in this context. 6 Some centers have shown a survival benefit from central cannulation related to higher ECMO flow rates, which can be difficult to achieve using peripheral cannulation. 1,2,4,7 On the other side, the peripheral cannulation, almost entirely performed through the right jugular vein and common carotid artery in children below 20 kg, 8 is associated with a risk of acute neurologic event (ANE) in critically ill children requiring ECMO for any indication.…”