ECMO – Questions With Valid Solutions
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Terms in this set (74)
- extracorporeal membrane oxygenation
What does acronym ECMO
stand for? ECLS?
ECLS = extracorporeal life support
What type of diseases are - reversible pulmonary or cardiac
treated with ECMO? - patients who do not respond to conventional therapy
How long is ECMO - typically between 1-30 days
support?
How can cannulation be - peripheral (through the skin)
placed with ECMO? - central, post-cardiotomy
When was ECMO first - 1970s, treating ARDS and respiratory failure
successful? Type of - also, first neonatal ECMO survivor
procedure first used? What - adults only had 10% survival rate with respiratory
patient group saw positive failure and ECMO treatment
results? Negative?
During the 1980s, what did - shows ECMO better than conventional therapy with
studies say about ECMO respiratory failure
and neonatal usage? What - 49% neonatal survival rate
patient group began - select adult patients get ECMO treatment
getting ECMO again?
What group is formed in ELSO
the 1980 with regard to
extracorporeal treatment? - extracorporeal life support organization
1990s - what is newborn 83%
survival rate for ECMO?
2010s - what issue is treated cardiac arrest
with ECMO for the first
time?
, Pumpless extracorporeal lung assist
What is PECLA?
- treats hypercapnic respiratory failure
- what does it treat and
- removes CO2
how does it work?
- blood flow driven by patient's blood pressure
PECLA - reduction of lung injury by mechanical ventilation
- one benefit is a reduction - flow up to 1.5 LPM
of..?
- flow rates up to..?
What is ECCO2R? Extracorporeal CO2 Removal
- does it use the lungs?
- flow rate? - CO2 removal independently of lungs
- what is minimally - less than 1 LPM
delivered? - O2 delivery is just minimal
Extracorporeal cardiopulmonary resuscitation
What is ECPR?
- when is it used?
- initiated during CPR
- how many people are
- one doctor is running the code
involved?
- one doctor is cannulating the femoral vessels
- connects inflow and outflow (clamped off)
ECMO Circuit
- safety feature present in case of oxygenator
- what is crossover bridge
changeout
used for?
- also a purge line for air
ECMO Circuit roller head - continuous
- which pumps require
continuous monitoring? centrifugal - intermittent
Which can be monitored
intermittently?
ECMO Circuit larger/ limited = roller pump
- which pump requires a
larger circuit and has smaller/ transportable = centrifugal
limited mobility?
- except raceway, which is Supertygon
ECMO Circuit - Roller Head
- Supertygon is chemically altered PVC that is resistant
- all tubing is PCV, except?
to wear
Save
Terms in this set (74)
- extracorporeal membrane oxygenation
What does acronym ECMO
stand for? ECLS?
ECLS = extracorporeal life support
What type of diseases are - reversible pulmonary or cardiac
treated with ECMO? - patients who do not respond to conventional therapy
How long is ECMO - typically between 1-30 days
support?
How can cannulation be - peripheral (through the skin)
placed with ECMO? - central, post-cardiotomy
When was ECMO first - 1970s, treating ARDS and respiratory failure
successful? Type of - also, first neonatal ECMO survivor
procedure first used? What - adults only had 10% survival rate with respiratory
patient group saw positive failure and ECMO treatment
results? Negative?
During the 1980s, what did - shows ECMO better than conventional therapy with
studies say about ECMO respiratory failure
and neonatal usage? What - 49% neonatal survival rate
patient group began - select adult patients get ECMO treatment
getting ECMO again?
What group is formed in ELSO
the 1980 with regard to
extracorporeal treatment? - extracorporeal life support organization
1990s - what is newborn 83%
survival rate for ECMO?
2010s - what issue is treated cardiac arrest
with ECMO for the first
time?
, Pumpless extracorporeal lung assist
What is PECLA?
- treats hypercapnic respiratory failure
- what does it treat and
- removes CO2
how does it work?
- blood flow driven by patient's blood pressure
PECLA - reduction of lung injury by mechanical ventilation
- one benefit is a reduction - flow up to 1.5 LPM
of..?
- flow rates up to..?
What is ECCO2R? Extracorporeal CO2 Removal
- does it use the lungs?
- flow rate? - CO2 removal independently of lungs
- what is minimally - less than 1 LPM
delivered? - O2 delivery is just minimal
Extracorporeal cardiopulmonary resuscitation
What is ECPR?
- when is it used?
- initiated during CPR
- how many people are
- one doctor is running the code
involved?
- one doctor is cannulating the femoral vessels
- connects inflow and outflow (clamped off)
ECMO Circuit
- safety feature present in case of oxygenator
- what is crossover bridge
changeout
used for?
- also a purge line for air
ECMO Circuit roller head - continuous
- which pumps require
continuous monitoring? centrifugal - intermittent
Which can be monitored
intermittently?
ECMO Circuit larger/ limited = roller pump
- which pump requires a
larger circuit and has smaller/ transportable = centrifugal
limited mobility?
- except raceway, which is Supertygon
ECMO Circuit - Roller Head
- Supertygon is chemically altered PVC that is resistant
- all tubing is PCV, except?
to wear
