Critical Care Time 42. Extracorporeal Membrane Oxygenation
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Feb 10, 2025 Nick Villalobos, an Air Force physician and assistant professor of medicine, teams up with Kha Dinh, a pulmonary critical care physician and associate professor, to dive deep into the world of Extracorporeal Membrane Oxygenation (ECMO). They discuss the critical role of ECMO in treating severe respiratory failure, particularly ARDS, and share personal experiences from the COVID pandemic. The conversation stretches to ethical dilemmas in candidate selection, the complexities of cannulation, and the interplay of emotional support in critical care decisions. It's an enlightening and fun exploration for any healthcare professional!
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Hantavirus Inspiration
- Nick Villalobos's interest in ECMO began with a med school experience.
- He treated a Hantavirus ARDS patient on VV ECMO who fully recovered.
MERS Misdiagnosis
- Ka Dinh's ECMO interest started during residency with a MERS case.
- The patient ended up having mitral regurgitation, not MERS.
ECMO Accessibility
- ECMO is becoming more common, even outside major medical centers.
- It is used in various settings like cardiac arrests and pre-hospital care.