Veno-Venous Extracorporeal Membrane Oxygenation: Decannulation Technique in the Awake, Spontaneously Breathing Patient

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This video describes the authors’ institution’s preferred decannulation technique in the awake, spontaneously breathing patient on veno-venous extracorporeal membrane oxygenation (VV ECMO).

The case involves a twenty-nine-year-old man with a past medical history of congenital diaphragmatic hernia with resultant hypoplastic right lung, pulmonary hypertension (WHO group 2), dextrocardia, and Eisenmenger syndrome with an unrepaired ventricular septal defect. He had been hospitalized for several months while awaiting heart-lung transplantation and ultimately underwent this procedure. 

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