PerfWeb 12 – ECMO: Measurement Of Adequacy, Cannulation, North/South Complication, Anticoagulation And Weaning, And What Patients Can Be Woken Up And Extubated On VV ECMO? Joe Basha, CCP July 19, 2018
In the ever-evolving field of perfusion, it is essential for practitioners to be at the forefront of the latest techniques, procedures, and best practices. Our PerfWeb series is dedicated to bringing you the most current and vital information, straight from the experts who are shaping the landscape of perfusion science. Episode 12 of the PerfWeb series delves into one of the most complex and indispensable life-supporting systems—Extracorporeal Membrane Oxygenation (ECMO).
This episode, hosted by Joe Basha, features an in-depth discussion with Chris, a seasoned perfusionist from Memorial Hermann Hospital. The focus of the episode is primarily on Veno-Venous ECMO (VV ECMO), Anticoagulation protocols, and the complexities surrounding the weaning process. This comprehensive guide serves as a foundational resource for both novice and experienced perfusionists looking to enrich their understanding of ECMO.
Veno-Venous ECMO (VV ECMO)
VV ECMO is a specialized form of life support used for patients with severe respiratory distress. Chris delves into the indications for VV ECMO, detailing the clinical scenarios where this intervention is not just recommended but essential. He elucidates the intricacies involved in setting up the VV ECMO circuit, including key considerations for patient selection, as well as the role of perfusionists in managing the system.
Anticoagulation management is a cornerstone of ECMO therapy. Ineffective anticoagulation can lead to catastrophic complications, including thrombosis and hemorrhage. Chris discusses the current best practices in anticoagulation protocols, emphasizing the importance of constant monitoring and adjustments based on patient-specific factors. The episode offers actionable insights into managing anticoagulation effectively, ensuring both the safety of the patient and the efficacy of the ECMO system.
Weaning from ECMO
Weaning a patient off ECMO is an equally intricate process requiring meticulous planning and execution. The episode sheds light on the challenges and considerations involved in the weaning process, ranging from physiological parameters to psychological readiness. Chris shares his first-hand experience and insights into the weaning protocols followed at Memorial Hermann Hospital, providing a roadmap for other perfusionists to navigate this complicated process successfully.
The episode is not just an informational guide but also serves as a platform for thought leadership in the field of perfusion. Joe and Chris engage in a candid discussion on the current trends, challenges, and future outlook of ECMO technology. The episode aims to provoke thought and inspire perfusionists to strive for continuous improvement in their practice.
The 12th episode of the PerfWeb series is a must-watch for anyone involved in the field of perfusion, from students to seasoned practitioners. The insights shared by Chris, coupled with Joe's astute questioning, make this episode an invaluable resource for understanding the complexities surrounding VV ECMO, Anticoagulation, and Weaning.
Whether you are looking to refresh your knowledge or are new to the world of ECMO, this episode offers a wealth of information, practical tips, and expert opinions that you won't find elsewhere. Join us in our commitment to advancing the field of perfusion, one episode at a time.
We invite you to watch this episode and enrich your practice. As always, our PerfWeb series is designed to serve as a comprehensive knowledge resource for perfusionists, helping you fulfill your continuing education requirements while enhancing your professional expertise.
Joseph Basha - Host - Perfusionist
Chris Lusby - Perfusionist