The initiation of VV ECMO involves several critical steps: 1. Cannulation: Large catheters are inserted into the child's veins, often the internal jugular or femoral vein. 2. Circulation: The blood is drawn from the venous system, passes through the ECMO circuit where it is oxygenated, and then returned to the venous system. 3. Monitoring: Continuous monitoring of blood gases, pressure, and flow rates is essential to ensure optimal oxygenation and carbon dioxide removal.
