VV ECMO Part 3: Troubleshooting the circuit & preparing for early rehab

May 8, 2023

Guest Jenna Miller, Associate Professor of Pediatrics, discusses troubleshooting the VV-ECMO circuit and preparing for early rehab. Topics include nutrition for patients on VV-ECMO, moving towards early extubation and mobilization, breastfeeding and feeding on ECMO, waking up patients on ECMO, and early rehabilitation and sedation approach for pediatric patients.

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Episode notes

Introduction

00:00 • 2min

Troubleshooting and Preparing for Early Rehab in VV ECMO

01:59 • 17min

Breastfeeding, Donor Milk, and Feeding on ECMO

19:07 • 2min

Waking Up patients on ECMO: Challenges and Considerations

21:02 • 4min

Early Rehab and Sedation Approach for Pediatric Patients on ECMO

25:28 • 3min

Jenna Miller, MD is an Associate Professor of Pediatrics at the University of Missouri-Kansas City School of Medicine. She completed her medical school and residency in Kansas City before moving to Texas Children’s for critical care fellowship. She is the director of the pediatric ECMO program and the pediatric critical care medicine fellowship at Children’s Mercy Kansas City. Her professional and research interests include trimethoprim-sulfamethoxazole ARDS, ECMO and medical education.

Dr John Daniel, MD is an Associate Professor of Pediatrics at the University of Missouri-Kansas City School of Medicine. He completed his pediatric residency at the University of South Carolina and his neonatology fellowship at the University of Kentucky. He now is a practicing Neonatal Cardiac Intensivist and the director of the neonatal ECMO program at Children’s Mercy Kansas City.

Learning Objectives:

After listening to this episode, learners should be able to:

The Identify key networking opportunities within the ECMO world.
Understand the risks and benefits of VV-ECMO cannulation.
Discuss common and newer indications for VV-ECMO cannulation in neonates and school-aged children.

ECMO Patient Stories from Children’s Mercy Kansas City:

https://www.cnn.com/2018/03/21/health/teen-walks-on-life-support-exclusive-profile

https://news.childrensmercy.org/mcpherson-news-ledger-mcpherson-boy-home-following-100-day-hospital-stay/

References:

Maclare, Graeme, et al. Extracorporeal Life Support: The ELSO Red Book. 6th Edition.
Pelosi, er al. Close down the lungs + keep them resting to minimize ventilator induced lung injury.
Maharaj et al, Right Ventricular Dysfunction is Associated with Increased Mortality in Patients Requiring Venovenous Extracorporeal Membrane Oxygenation for Coronavirus Disease 2019
Nirmal S Sharma et al. Flexible Bronchoscopy Is Safe and Effective in Adult Subjects Supported With Extracorporeal Membrane Oxygenation.
Rosner EA et al. Flexible Bronchoscopy in Pediatric Venovenous Extracorporeal Membrane Oxygenation.
Gurnani et al. Outcomes of Extubated COVID and Non-COVID Pat

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Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.