Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast Episode 33: ECMO with Dr. Rosanne Sheinberg
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Feb 6, 2017 In this engaging discussion, Dr. Rosanne Sheinberg, a cardiac anesthesiologist and assistant professor certified in integrative medicine, sheds light on ECMO, a life-saving technology. She clarifies its supportive role versus a direct cure, along with the ethical considerations involved in patient treatment. The conversation dives into management strategies, the risks of complications like infections and bleeding, and the critical aspects of patient mobilization. Dr. Sheinberg also emphasizes the importance of monitoring and the balance required for optimal care.
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ECMO as Modified Bypass
- ECMO is a modified cardiopulmonary bypass adapted for prolonged support lasting hours to weeks.
- It provides temporary cardiopulmonary support, enabling the body time to recover but doesn't reverse damage itself.
Differences Between Bypass and ECMO
- Cardiopulmonary bypass is an open system with a reservoir allowing volume adjustments and high heparinization.
- ECMO is a closed circuit without volume reservoir and requires less anticoagulation due to continuous blood flow.
VV vs VA ECMO Overview
- VV ECMO supports respiratory function by oxygenating venous blood returned to the right atrium.
- VA ECMO supports both heart and lungs by diverting venous blood and returning it to the arterial system.