Ecmo

Question 1

ECMO

Answer 1

It is an extracorpeallife support
Where an external ARTIFICIAL CIRCULATOR carries venous blood from the pt to gas exchange oxygenator where blood becomes enriched with o2 and CO2 is removed

Question 2

Indication

Answer 2

Respiratory
Ards pneumonia
Lung transplant
Asthma lung contusion

Cardiac
Post cardiac arrest
Pulmonary embolism
Drug overdose
Cardiogenic shock

Question 3

contraindications

Answer 3

Severe neurological conditions
Encephalopathy

Cirhossis with ascitis
History of vesicle bleeding

Moderate severe chronic lung desease
Terminal malignancy Hiv

Question 4

Type

Answer 4

VV
Supports respiratory functions
Severe lv failure
Cardiac arrest

Va
Supports respiratory functions and cardiac function
Severe aortic regurgitation

Question 5

Components

Answer 5

ECmo cannular arterial and venular kits
Centrifugal pump
Hand crank
Crystalloids
Tubing clamps
Oxygenator
Heater or cooler

Question 6

Cannulation site

Answer 6

Iv - femoral vein ijv,right atrium
Artery - carotid,,femoral artery, aorta

Question 7

Neonate

Answer 7

Indication
Respiratory distress syndrome.
Persistent pulmonary hypertension
Congenital diaphragmatic hernia
meconium aspiration syndrome
Sepsis

Criteria
Gestational age >34weeks
Weight>2 kg
Pa02<50 mm hg
Ph7.2

Question 8

Management

Answer 8

Anticoagulant .
Sedation and analgesia
Ventilator management
Hemodynamic monitoring
Blood gas monitoring.

Question 9

Complications

Answer 9

Bleeding ,thrombosis,hemolysis, infection, neurological damage,renal failure