ECMO

Question 1

ECMO

Answer 1

extracorporeal membrane oxygenation

External Circulation

Question 2

VV ECMO

Answer 2

venous-venous ECMO

why use VV echo?
pulmonary support
bridge to transplant
bridge to recovery
post bivad insertion

Femoral vein to RIJ
using largest venous cannula
largest arterial
2/3 calculated flow

Question 3

Venous-PA ECMO

Answer 3

go in right atrium and out to the pulmonary artery

cannula is really flexible

need competent pulmonary valve

Question 4

venous-arterial ECMO

Answer 4

Cardiopulmonary support

post transplant
acute coronary syndrome
septic patients in vasodilatory shock

Cannulate femoral vein and return blood to femoral artery

Question 5

Fem-Fem V-A ECMO

Answer 5

NO CARDIAC FUNCTION PRESENT

ECMO FULLY SUPPORTING BODY

FEMORAL ARTERIAL LINE NOT A GOOD INDICATOR OF ADEQUATE PERFUSION (HEAD)

Question 6

VAV ecmo

Answer 6

venous-arterial-venous ECMO

after cardiac surgery recovery, V-A portion may be removed -> V-V remains as long as needed

Question 7

ambulating on ecmo

Answer 7

walk patient around on VV ecmo