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PedsCrit

ECMO Essentials with Dr. Karen Fauman & the Cribsiders--Part 1

Mar 1, 2023
Dr. Karen Fauman, an Associate Professor of Pediatrics and ECMO enthusiast, discusses ECMO essentials with the Cribsiders in this podcast. They cover topics such as the basic pathophysiology of oxygen delivery, indications for VV and VA ECMO, the sequence of the ECMO circuit, and signs that a patient may be ready to be liberated from ECMO.
43:34

Episode guests

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Quick takeaways

  • VV ECMO is used for respiratory failure, while VA ECMO is used for cardiac or hemodynamic failure.
  • Ideal ECMO candidates have a reversible condition, need to be carefully assessed, and should allow the patient's lungs to rest and recover during VV ECMO use.

Deep dives

VV ECMO for respiratory failure patients

VV ECMO is commonly used for patients with respiratory failure, such as severe ARDS, pneumonia, or influenza, when optimal mechanical ventilation and other treatments have failed to adequately oxygenate the blood. It involves draining blood from the patient through a large catheter, exchanging oxygen and removing carbon dioxide in the membrane oxygenator, and then returning the oxygenated blood back to the patient's venous system through an appropriate cannula.

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