Performing chest computed tomography on pediatric patients on extracorporeal membrane oxygenation (ECMO): a stepwise approach

Pediatr Radiol. 2022 Sep;52(10):1877-1887. doi: 10.1007/s00247-022-05336-4. Epub 2022 Apr 2.

Abstract

Chest CT in pediatric patients on extracorporeal membrane oxygenation (ECMO) can be done safely and provide valuable high-quality diagnostic images to help guide patient management. An understanding of the basics of the ECMO circuit, cannula locations, where and how to inject contrast media, and how to time image acquisition is vital for the radiologist. Additionally, understanding the precautions associated with performing these exams is essential to ensure the safety of the child. This article provides a brief review of pediatric ECMO and its challenges and considerations, as well as a stepwise approach to perform and optimize these exams safely.

Keywords: Chest; Children; Computed tomography; Contrast; Extracorporeal membrane oxygenation.

Publication types

  • Review

MeSH terms

  • Child
  • Contrast Media
  • Extracorporeal Membrane Oxygenation*
  • Humans
  • Tomography, X-Ray Computed / methods

Substances

  • Contrast Media