ECLS / Adult ECMO – Questions With Definite
Solutions
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Terms in this set (73)
ECPR
- Massive PE
What falls into the category
of ECLS?
- Post cardiotomy Support
- Veno- venous rewarming for hypothermia
Extracorporeal CO2 removal
ECCOR
*this is VV ECMO
EISOR Extracorporeal Interval support for Organ Retrieval
Is ECMO a treatment? No, it is a tool used to provide support
1. Cardiogenic Shock
When is ECMO used? 2. Refractory cardiac arrest - ECPR
3. Bridge to device / transplant
PF ratio lower than 150
When would VV ECMO be.
used? High CO2 - pH less than 7.2
3. Pre-or post lung trasnplant
, Membrane Surface area:
Natural Lung vs. Native
lung Natural: 70m^2 and 1-3 microns thick
Membrane surface area
Native: 2-4 m^2 and 10-30 microns thick****
Natural lung vs. artificial Natural: 5 L
lung
Exchange volume Artificial: ~300 mL
Capable O2 delivery and Natural 3000 mL/min
CO2 removal of natural vs.
Artificial lung
Artificial: 200-250 mL/min
>?? I think this is O2
delivery / CO2 removal
What does it mean that there is no cross clamp and the heart is still beating
ECMO is partial bypass? often when on ECMO
1. One way is through Venous return
*don't want pressures to be negative if a roller pump
sucks air out of solution
How does ECMO servo
*this would collapse plates (bladder)
regulate?
2. Centrifugal pumps do not need servo control of this
ACT range for ECMO 180 to 200 seconds
A small heparin bolus
How is heparin given? then
A continuous heparin drip
Solutions
Save
Terms in this set (73)
ECPR
- Massive PE
What falls into the category
of ECLS?
- Post cardiotomy Support
- Veno- venous rewarming for hypothermia
Extracorporeal CO2 removal
ECCOR
*this is VV ECMO
EISOR Extracorporeal Interval support for Organ Retrieval
Is ECMO a treatment? No, it is a tool used to provide support
1. Cardiogenic Shock
When is ECMO used? 2. Refractory cardiac arrest - ECPR
3. Bridge to device / transplant
PF ratio lower than 150
When would VV ECMO be.
used? High CO2 - pH less than 7.2
3. Pre-or post lung trasnplant
, Membrane Surface area:
Natural Lung vs. Native
lung Natural: 70m^2 and 1-3 microns thick
Membrane surface area
Native: 2-4 m^2 and 10-30 microns thick****
Natural lung vs. artificial Natural: 5 L
lung
Exchange volume Artificial: ~300 mL
Capable O2 delivery and Natural 3000 mL/min
CO2 removal of natural vs.
Artificial lung
Artificial: 200-250 mL/min
>?? I think this is O2
delivery / CO2 removal
What does it mean that there is no cross clamp and the heart is still beating
ECMO is partial bypass? often when on ECMO
1. One way is through Venous return
*don't want pressures to be negative if a roller pump
sucks air out of solution
How does ECMO servo
*this would collapse plates (bladder)
regulate?
2. Centrifugal pumps do not need servo control of this
ACT range for ECMO 180 to 200 seconds
A small heparin bolus
How is heparin given? then
A continuous heparin drip
