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ExtraCorporeal Membrane Oxygenation (ECMO) Fundamentals
Definitions:
 • ExtraCorporeal Membrane Oxygenation (ECMO) provides prolonged pulmonary and/or circulatory support
ExtraCorporeal Membrane Oxygenation ... ExtraCorporeal Membrane Oxygenation ... artificial lung (oxygenator ... transplant, or destination ... ExtraCorporeal #Membrane #Oxygenation
Understanding & Treating ARDS - Acute Respiratory Distress Syndrome

•  Timing - within one week of
Understanding & Treating ARDS ... CHF • Impaired Oxygenation ... @nickmmark #ARDS
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
Extracorporeal Membrane Oxygenation ... adequate tissue oxygenation ... bridge, not a destination ... flow supports oxygenation ... From both lungs & oxygenator
APRV - Overview 

Airway pressure release ventilation (APRV) uses prolonged periods of high continuous positive airway
therapy for severe ARDS ... compliance with high oxygenation ... recruitment and improved oxygenation
Airway Pressure Release Ventilation (APRV) - Early application of airway pressure release ventilation may reduce the
patients with ARDS ... improved oxygenation ... #Ventilation #ARDS
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
6 mL'kg PBW in ARDS ... 8 mL4(g in non-ARDS ... 5 cmH20 in non-ARDS ... and non-ARDS) ... and non ARDS, no
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome – ARDS ... sepsis-associated ARDS ... Glucortecoids may improve oxygenation ... days after dx of ARDS ... RespiratoryDistress #Syndrome #ARDS
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Distress Syndrome (ARDS ... impairment of oxygenation ... severity of the ARDS ... >= 5cm H2O #ARDS
Important Respiratory Distress Pearls

#diagnosis #respiratory #distress #NRDS #RDS #TTN #MAS #neonatal #pediatric #adult #respiratory #adverse #effects
respiratory #distress #NRDS ... #RDS #TTN #MAS
CVP Estimation using IVC Diameter and Collapsibility 
< 1.5cm IVC, >50% collapsibility = 0-5 mm Hg
CVP Estimation using ... High CVP) #CVP #Estimation