VV ECMO Part 1: Who to cannulate to VV and how to get involved
Apr 24, 2023
Experts discuss their personal experiences and advice in the field of ECMO. The use of VV ECMO in respiratory failure and the criteria for cannulation are explored. Choosing between VV and VA ECMO for progressive respiratory failure is discussed, along with the benefits of VV ECMO in neonates.
29:25
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question_answer ANECDOTE
Long ECMO Runs Cemented Her Interest
Dr. Jenna Miller's interest grew after managing two very long ECMO runs of 120 and 190 days at her center.
Those cases showed her the complex decision-making and long-term care ECMO demands.
volunteer_activism ADVICE
Join ECMO Committees And Conferences
Sit on your institution's ECMO steering or executive committee meetings to learn program-level decisions and challenges.
Attend Keystone and ELSO conferences to network with ECMO leaders and present work.
volunteer_activism ADVICE
Learn From ECMO Specialists And Start Small
Follow ECMO nurses, specialists, and perfusionists to learn the hardware and practical setup.
Volunteer for management tasks progressively: watch, assist, then lead under supervision.
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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:
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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