We've had some recent episodes on ECMO physiology.  Today's episode focuses on the differences between ECMO physiology in the patient in cardiogenic shock versus the one in cardiac arrest. Scott Weingart talks with Zack about how the difference between these two patient populations is HUGE!  Scott also mentions details about cannulation and some critical post ECMO initiation pearls.

 

 

 

 

ECPR 2.0

The Patient

1. OOH Cardiac Arrest Patients are Different

Cannulation

2. Ultrasound-Guided Percutaneous Placement

3. Wire choices

4. Wire Location Verification

5. Small arterial cannulae

6. Simpler Circuits

Post-Pump Critical Care

7. Find the Injuries

8. Mandatory leg perfusion

9. Lower Anticoagulation Goals

10. Lower Flow Goals

11. Try to avoid venting - Truby et al. PMID:28422817, less is more

12. Understanding Cardiac Prognostication / Stunning

13. Understanding Neuro Prognostication

14. Protection/Ownership

15. In it for the Long Haul

 

Podden och tillhörande omslagsbild på den här sidan tillhör Zack Shinar, MD. Innehållet i podden är skapat av Zack Shinar, MD och inte av, eller tillsammans med, Poddtoppen.