ECMO Flashcards
1
Q
What trial showed ECMO as a rescue to lung injury in Severe ARDS patients?
A
Eolia Trial
2
Q
Indications for ECMO in Severe ARDS?
A
- Severe Hypoxemia (PaO2 to FiO2 ratio <80 despite high levels of peep (15-20 cmH20) for at least 6 hours in patients with potentially reversible respiratory failure.
- Uncompensated Hypercapnia with acidemia (pH < 7.15) despite the best accepted standard of care for management with a ventilator.
- Excessively high end-inspiratory plateau pressure (> 35-40 cmH2O, according to the patients body size) despite the best accepted standard of care for management with a ventilator.
3
Q
Absolute contraindication for ECMO in setting of Severe ARDS?
A
Any condition that preludes the use of Anticoagulation therapy
4
Q
Which ECMO can you use in setting of Right Heart Failure? (Venoarterial or Venovenous)
A
- Venoarterial ECMO (VA-ECMO) provides Cardiac Support bypasses pulmonary Circulation and decreases pulmonary artery pressure.
- Can be used in Right Heart Failure
- Achieves Higher PaO2
- VV-ECMO does not provide cardiac support and only maintains pulmonary blood flow (therefore cannot use with Right heart Failure)
5
Q
What trial demonstrated that using Extracorporeal Membrane Oxygenation (ECMO) in patients with severe acute respiratory distress syndrome (ARDS) significantly improved survival without disability at 6 months compared to conventional ventilatory support, indicating that referral to ECMO treatment can be beneficial for these critically ill patients.
A
Cesar Trial
