Venovenous access via a double-lumen cannula in the right internal jug
ular vein is the extracorporeal life support mode of choice for neonat
es with respiratory failure. We report a simplified method of cannulat
ion. The advantages of this ''semi-Seldinger'' method include the abil
ity to cannulate without ligating the internal jugular vein, and to ad
just the position of the cannula and decannulate without re-exploring
the wound.