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Peer-reviewedCC BY 4.0JACC Case Reports

Cannulation Navigation

  • Wynne Lok1
  • Sandra G. Page1
  • Heather J. Price1
  • Katie A. Rodwell1
  1. 1Department of Heart and Vascular Service, UNC Health Rex, UNC Health, Raleigh, North Carolina, USA
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Abstract

Background: Patients requiring emergency extracorporeal membrane oxygenation (ECMO) support at UNC Health Rex—54% of whom presented with myocardial infarction—faced prolonged and inconsistent transfer times to the UNC Medical Center.

Project Rationale: A lack of standardized workflow contributed to variable response times, ambiguity around transportation responsibilities, and inefficiencies that could not meet the urgency required for ECMO candidates.

Project Summary: This project used registry data to identify gaps, convened a multidisciplinary team to set goals, streamlined communication, revised protocols, optimized workflows, and targeted education to improve early recognition, coordination, and transfer efficiency for ECMO patients.

Take-home Message: Despite challenges with aligning multiple specialties, changing long-standing habits, and coordinating resources across campuses, the team significantly reduced transfer times and created a sustainable model that strengthened systemwide care for critically ill ECMO patients.

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Cite

BibTeXRIS
BibTeX
@article{lok2026cannulation,
  title = {{Cannulation Navigation}},
  author = {Wynne Lok and Sandra G. Page and Heather J. Price and Katie A. Rodwell},
  journal = {JACC Case Reports},
  year = {2026},
  month = sep,
  doi = {10.1016/j.jaccas.2026.110212},
  url = {https://doi.org/10.1016/j.jaccas.2026.110212},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Cannulation Navigation
AU  - Wynne Lok
AU  - Sandra G. Page
AU  - Heather J. Price
AU  - Katie A. Rodwell
PY  - 2026
DA  - 2026/09/16
JO  - JACC Case Reports
DO  - 10.1016/j.jaccas.2026.110212
UR  - https://doi.org/10.1016/j.jaccas.2026.110212
AB  - Background: Patients requiring emergency extracorporeal membrane oxygenation (ECMO) support at UNC Health Rex—54% of whom presented with myocardial infarction—faced prolonged and inconsistent transfer times to the UNC Medical Center.  Project Rationale: A lack of standardized workflow contributed to variable response times, ambiguity around transportation responsibilities, and inefficiencies that could not meet the urgency required for ECMO candidates.  Project Summary: This project used registry data to identify gaps, convened a multidisciplinary team to set goals, streamlined communication, revised protocols, optimized workflows, and targeted education to improve early recognition, coordination, and transfer efficiency for ECMO patients.  Take-home Message: Despite challenges with aligning multiple specialties, changing long-standing habits, and coordinating resources across campuses, the team significantly reduced transfer times and created a sustainable model that strengthened systemwide care for critically ill ECMO patients.
SN  - 2666-0849
ER  -