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PedsCrit
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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Quick takeaways
- The decision to initiate VV ECMO depends on factors such as the reversibility of the acute process, underlying diagnoses, contraindications, and the benefits and risks of ongoing high ventilator support, highlighting the importance of early discussion with surgical colleagues and considering technical feasibility in the decision-making process.
- VV ECMO is beneficial for neonates with respiratory failure, providing lung rest and managing ventilator-induced lung injury, with common indications including meconium aspiration, severe RSV, ARDS, and idiopathic respiratory failure, while also exploring emerging indications like congenital diaphragmatic hernias.
Deep dives
Overview of VV ECMO course for patients in the PICU and NICU
This podcast episode introduces a series on VV ECMO, which covers various aspects of the course for patients in the PICU and NICU. It includes topics such as the decision to cannulate, optimizing flows, titrating arrest event settings, and more complex protocols like extubation and patient mobilization. The series features experts in pediatric intensive care and neonatology who provide insights and expertise in managing ECMO patients. The speakers also discuss their personal interests outside of medicine, emphasizing the importance of balancing personal and professional life.
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