212 results
ExtraCorporeal Membrane Oxygenation (ECMO) Fundamentals
Definitions:
 • ExtraCorporeal Membrane Oxygenation (ECMO) provides prolonged pulmonary and/or circulatory support
Membrane Oxygenation (ECMO ... Membrane Oxygenation (ECMO ... • VV ECMO: artificially ... native lung • VA ECMO ... ECCO2R: Refractory hypercapnia
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
• Permissive hypercapnia ... VV-ECMO • indicatons ... discussion With ECMO
ECMO Troubleshooting - OnePager Summary
ECMO Emergency Protocol - Team should train/practice & have necessary supplies at
ECMO Troubleshooting ... OnePager Summary ECMO ... Return to pre-ECMO ... • HYPERCAPNIA/ ... JonahRubinMD #ECMO
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
tolerate mild hypercapnia ... obese ARDS • ECMO
Chronic Hypercapnic Respiratory Failure Phenotypes
Pink Puffers (robust vent drive) ↑ their WOB when pulmonary mechanics gradually
Chronic Hypercapnic ... rise) → chronic hypercapnia ... amzn.to/3rEtbK8 #Hypercapnic
ECMO Components: VA-ECMO, VV-ECMO

Infographic by Dr. Catherine Beni @totalbodydolor

#ECMO #Components #VAECMO #VVECMO #Diagram #Schematic #Basics
ECMO Components: ... VA-ECMO, VV-ECMO ... totalbodydolor #ECMO
Drug Clearance and Pharmacokinetics Considerations in ECMO

- Infographic by Dr. Catherine Beni @totalbodydolor 

#ECMO #Pharmacology #Drug
Considerations in ECMO ... totalbodydolor #ECMO
Tachypnea - Evaluation and Differential Diagnosis Algorithm
Alkalemia:
 • Acute Respiratory Alkalosis
 • Chronic Hypercapnic Respiratory Failure
Alkalosis • Chronic Hypercapnic ... Superimposed • Acute Hypercapnic
Flapping tremors of Asterixis

DDx
- Decompensated cirrhosis or acute liver failure.
- Renal failure /azotemia.
- Respiratory failure with
dioxide toxicity (hypercapnia
VA ECMO Unloading - LV Venting
Different LV Venting Strategies work through these basic mechanisms: ↓ Preload,
VA ECMO Unloading ... Afterload • Reducing ECMO ... cardiology #management #ecmo