ECMO Flashcards
ECMO
Extracorporeal Membrane Oxygenation
ECMO organs
Involves liver and kidneys
ECMO Circulation
Veinous system
Through Oxygenation system
Removing CO2
Adding O2
Veno-Arterial (VA)
Used for cardiopulmonary deficits
- Tetralogy of Fallot heart surgery
Veno-Venous system (VV)
Used for pulmonary deficits
- meconium aspiration
Length of time for Infant
3 weeks
Risks for patient
Transfusion
Infection
Clots
Bleeding
Stroke
Air Bubbles
Hematology
Helps to assess the patient’s stability via CBC reports
Coagulation
Helps to assess the patient’s stability via PT / aPTT reports
Chemistry
Helps to assess the patient’s stability via Chem7 reports
Blood Bank
Maintains adequate and accessible blood supply
Microbiology
Periodically tests ECMO machine areas that are exposed to the air to prevent infection and check for bacterial growth
Thromboelastographic instrument
aka TEG
determine blood product usage and necessity
Why Use ECMO
Major Surgery
Trauma
Birth Defects
Other
Length of time for Adult
10 days
Medications for while on ECMO
Heparin
Blood Products
Antibiotics
Electrolytes
IV/NG nutrition
Sedatives
Lasix
Paralytics
Pain Medications
Required Testing Before ECMO
Head ultrasound
Chest x-ray
Blood gases
Echocardiogram
Clotting Test
Common Diseases associated with ECMO
Pneumonia
Congenital Diaphragmatic Hernia (CDH)
Meconium Aspiration Syndrome (MAS)
Sepsis
Pulmonary Hypertension (PPHN/ PAH)
Inborn errors of metabolism
Severe asthma attack
Long Term Effects
Developmental delays or disabilities
Mental developmental delays or disabilities
Increase risk of behavioral problems
