A new analysis of 12 studies suggests that intensivists can safely perform ECMO cannulation, the procedure to connect a patient to a heart-lung machine. The review, which included adult patients, found that the overall complication rate was 2% per cannula and 5% per patient. For VA ECMO, which supports the heart and lungs, the complication rate was 9% per patient. For VV ECMO, which supports only the lungs, it was 4% per patient. The most common complication was vascular injury.
These findings are based on a meta-analysis of existing research, which means the results are a combined look at multiple studies. The review did not report on serious adverse events or how well patients tolerated the procedure. It also did not specify the funding sources or conflicts of interest.
It is important to note that this analysis does not prove that intensivists are always safe to perform ECMO cannulation. The results suggest that with proper training, credentialing, and backup support from surgeons, intensivists can perform the procedure with low complication rates. However, individual patient factors and hospital resources may affect outcomes.
For patients and families, this review offers reassurance that ECMO cannulation by intensivists is a viable option in experienced centers. It does not replace the need for surgical backup when needed. Always discuss the risks and benefits of any procedure with your healthcare team.
