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ECMO SPECIALIST TEST
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ECMO SPECIALIST TEST 2024-2025VV ECMO: ANSWER Can be thought of as "IV gas exchange" and seeks to give
enough oxygen to enable end-organ perfusion.
ECMO directors: Dr. Devaleria and Dr. Sen.
Extracorporeal Life Support Organization (ELSO) - Answer A Consortium
established in 1989 that establishes ECMO protocols and keeps a register of all
ECMO patients.
Contraindications for V-V ECMO - ANSWER Cardiogenic shock, persistent
respiratory failure, uncontrollable sepsis, and multiorgan failure
Father of ECMO? What does he believe? - ANSWER Dr. Robert Bartlett feels that
all patients should have an Hgb of 15 g/dL.
Test to confirm hemolysis - ANSWER lactate dehydrogenase (LDH) and
plasma-free hemoglobin (send out every three days plasma-free hemoglobin).
Air Entrainment - Answer This emanates from the circuit's pre-pump side, seizes a
centrifugal pump and necessitates a quick source identification. Specialists must
closely monitor and prepare to clamp oxygenator output (ECMO Arterial).
Chatter - Answer This colloquialism refers to intermittent venous line occlusion
that causes varying ECBF (Ecmo Cannula Bloodflow).
Arterial Decannulation - Answer This emergency will result in fast exsanguination;
clamp the outflow promptly.
Low Flow/No Flow - Answer The failure of the centrifugal pump to produce
output. The problem was solved by lowering the pump speed.
, VV ECMO blood gas optimization is titrated based on ANSWER Pt.'s arterial
blood gas.
Signs of Oxygenator Failure: ANSWER Increasing Delta P
Increasing ECMO PCO2 despite greater sweep on the blender.
ECMO PO2 decreases despite increased FIO2 on the blender.
Have the Bioderm Cath Grips and CHG Tegaderm been changed? - Answer every
seven days.
Hourly ECMO monitoring and assessment. Requirements include: ANSWER
Circuit Check
Cannulae site assessment
Circuit pressure, flow, and blender settings
Cannulated limbs are evaluated in terms of N/V.
Type and screen: ANSWER This is done every three days and must stay up to date
the entire time the patient is on ECLS.
Roller Pump - Answer There is no sensitivity to afterload
What directly controls CO2 removal and FIO2? - Answer: Air/oxygen gas blender.
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