Chugging in patients on veno-venous extracorporeal membrane oxygenation: An under-recognized driver of intravenous fluid administration in patients with acute respiratory distress syndrome?

James M. Walter*, Chitaru Kurihara, Thomas C. Corbridge, Ankit Bharat

*Corresponding author for this work

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Background: Veno-venous extracorporeal membrane oxygenation (VV-ECMO) is increasingly utilized in the management of severe acute respiratory distress syndrome (ARDS). Providers who care for patients on VV-ECMO should be familiar with common circuit complications. Objectives: To provide an example of a common complication, circuit “chugging,” and suggest a management algorithm which aims to avoid excessive fluid administration to patients with ARDS. Methods: We use a clinical case to illustrate chugging and discuss potential management strategies. Results: Our patient received frequent boluses of albumin for intermittent circuit chugging contributing to a net positive fluid balance of roughly 6 liters 4 days after cannulation. Conclusions: Chugging is a common complication for patients on VV ECMO. A thoughtful approach to management may help limit potentially harmful fluid administration for patients with ARDS.

Original languageEnglish (US)
Pages (from-to)398-400
Number of pages3
JournalHeart and Lung
Volume47
Issue number4
DOIs
StatePublished - Jul 1 2018

Keywords

  • Acute respiratory distress syndrome
  • Chugging
  • Extracorporeal membrane oxygenation

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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