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Novel Utilization of the Bridge During Weaning Off Venoarterial ECMO: The Hoffman Clamp Method.

Publication ,  Journal Article
Holgren, SE; Frede, RT; Crumley, JP; Patel, SS; Moore, EA; Turek, JW
Published in: Innovations (Phila)
2016

Standard practice for weaning patients off venoarterial extracorporeal membrane oxygenation (ECMO) occurs by decreasing pump flows until idle flow is achieved. This method is limited in its use because it is difficult to assess a patient's true potential to successfully come off ECMO when supported by idle flow. We have developed a weaning technique that uses a Hoffman clamp on the bridge to decrease blood flow to the patient beyond idle flow. This method was used to wean eight patients from venoarterial ECMO. No patients weaned with this technique required emergent reinstitution of ECMO. The Hoffman clamp technique has allowed us to safely wean patients off ECMO support while maintaining integrity of the circuit.

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Published In

Innovations (Phila)

DOI

EISSN

1559-0879

Publication Date

2016

Volume

11

Issue

3

Start / End Page

229 / 231

Location

United States

Related Subject Headings

  • Respiratory System
  • Recovery of Function
  • Male
  • Lung Diseases
  • Infant
  • Humans
  • Hemodynamics
  • Heart Failure
  • Female
  • Extracorporeal Membrane Oxygenation
 

Citation

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Holgren, S. E., Frede, R. T., Crumley, J. P., Patel, S. S., Moore, E. A., & Turek, J. W. (2016). Novel Utilization of the Bridge During Weaning Off Venoarterial ECMO: The Hoffman Clamp Method. Innovations (Phila), 11(3), 229–231. https://doi.org/10.1097/IMI.0000000000000276
Holgren, Sarah E., Ryan T. Frede, Jennifer P. Crumley, Sonali S. Patel, Elizabeth A. Moore, and Joseph W. Turek. “Novel Utilization of the Bridge During Weaning Off Venoarterial ECMO: The Hoffman Clamp Method.Innovations (Phila) 11, no. 3 (2016): 229–31. https://doi.org/10.1097/IMI.0000000000000276.
Holgren SE, Frede RT, Crumley JP, Patel SS, Moore EA, Turek JW. Novel Utilization of the Bridge During Weaning Off Venoarterial ECMO: The Hoffman Clamp Method. Innovations (Phila). 2016;11(3):229–31.
Holgren, Sarah E., et al. “Novel Utilization of the Bridge During Weaning Off Venoarterial ECMO: The Hoffman Clamp Method.Innovations (Phila), vol. 11, no. 3, 2016, pp. 229–31. Pubmed, doi:10.1097/IMI.0000000000000276.
Holgren SE, Frede RT, Crumley JP, Patel SS, Moore EA, Turek JW. Novel Utilization of the Bridge During Weaning Off Venoarterial ECMO: The Hoffman Clamp Method. Innovations (Phila). 2016;11(3):229–231.

Published In

Innovations (Phila)

DOI

EISSN

1559-0879

Publication Date

2016

Volume

11

Issue

3

Start / End Page

229 / 231

Location

United States

Related Subject Headings

  • Respiratory System
  • Recovery of Function
  • Male
  • Lung Diseases
  • Infant
  • Humans
  • Hemodynamics
  • Heart Failure
  • Female
  • Extracorporeal Membrane Oxygenation