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Echocardiography is a valuable diagnostic and monitoring tool often used before and during extracorporeal membrane oxygenation (ECMO) support, but few guidelines are available to help cardiac anesthesiologists who are frequently facilitating ECMO insertion and management. Now, the Society of Cardiovascular Anesthesiologists has published two consensus statements that include guidance regarding the role of transesophageal echocardiography (TEE) in performing patient assessments before initiating ECMO, facilitating insertion and final positioning of ECMO cannulae, monitoring and troubleshooting during ECMO support, and managing the weaning process [1,2]. We employ TEE guidance during perioperative management of ECMO.

1
Mazzeffi
MA
,
Rao
VK
,
Dodd-O
J
, et al
.
Intraoperative Management of Adult Patients on Extracorporeal Membrane Oxygenation: An Expert Consensus Statement From the Society of Cardiovascular Anesthesiologists-Part I, Technical Aspects of Extracorporeal Membrane Oxygenation
.
Anesth Analg
2021
.
2
Mazzeffi
MA
,
Rao
VK
,
Dodd-O
J
, et al
.
Intraoperative Management of Adult Patients on Extracorporeal Membrane Oxygenation: An Expert Consensus Statement From the Society of Cardiovascular Anesthesiologists-Part II, Intraoperative Management and Troubleshooting
.
Anesth Analg
2021
.

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