ECMO Platform Overview. Acute Hypoxemic Respiratory Failure. Atrial Septal Defects
ECMO Platform Overview. Acute Hypoxemic Respiratory Failure. Atrial Septal Defects

ECMO Platform Overview. Acute Hypoxemic Respiratory Failure. Atrial Septal Defects

  • Faculty: John Ingram, CCP; Jordan Hoffman, MD; John Poland, CCP
  • Date: June 2nd, 2021 6:45 am
  • CEU’s: 3.4 CEUs
  • Price: $51
  • Category 3 CEU
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Course description

Vanderbilt University Medical Center; Department of CV Surgery: Faculty Forum - ECMO platform overview: Cost, safety, versatility

 Tammy Sparacino Journal Club: Lower or Higher Oxygenation Targets for Acute Hypoxemic Respiratory Failure 
"BACKGROUND Patients with acute hypoxemic respiratory failure in the intensive care unit (ICU) are treated with supplemental oxygen, but the benefits and harms of different oxygenation targets are unclear. We hypothesized that using a lower target for partial pressure of arterial oxygen (Pao2) would result in lower mortality than using a higher target. METHODS: In this multicenter trial, we randomly assigned 2928 adult patients who had recently been admitted to the ICU (≤12 hours before randomization) and who were receiving at least 10 liters of oxygen per minute in an open system or had a fraction of inspired oxygen of at least 0.50 in a closed system to receive oxygen therapy targeting a Pao2 of either 60 mm Hg (lower-oxygenation group) or 90 mm Hg (higher-oxygenation group) for a maximum of 90 days. The primary outcome was death within 90 days. RESULTS At 90 days, 618 of 1441 patients (42.9%) in the lower-oxygenation group and 613 of 1447 patients (42.4%) in the higher-oxygenation group had died (adjusted risk ratio, 1.02; 95% confidence interval, 0.94 to 1.11; P=0.64). At 90 days, there was no significant between-group difference in the percentage of days that patients were alive without life support or in the percentage of days they were alive after hospital discharge. The percentages of patients who had new episodes of shock, myocardial ischemia, ischemic stroke, or intestinal ischemia were similar in the two groups (P=0.24). CONCLUSIONS Among adult patients with acute hypoxemic respiratory failure in the ICU, a lower oxygenation target did not result in lower mortality than a higher target at 90 days. (Funded by the Innovation Fund Denmark and others" 
John Ingram Knowledge Nuggets: Atrial Septal Defects 
Register and watch for free @ https://library.perfusioneducation.com 
IV Dosage and Rate Calculator - https://mediweb.us/iv-medication-calculator/ 

Meet Your Instructor

John Ingram, CCP

John Ingram, CCP

John Ingram is a magna cum laude graduate from University of Texas, Texas Heart Institute and a board certified perfusionist currently specializing in adult perfusion

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Jordan Hoffman, MD

Jordan Hoffman, MD

Dr. Hoffman was born in New Orleans, Louisiana and was raised in Los Angeles, California. His undergraduate degree is from Rice University in Houston, Texas

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John Poland, CCP

John Poland, CCP

Vanderbilt University Medical Center Cardiopulmonary Perfusionist · Responsible for Heart Lung Machine · ECMO Patients – transport, bedside monitoring 

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