ECMO – Questions With Verified Solutions
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Terms in this set (39)
ECMO stands for Extracorpreal Membrane Oxygenation
Extracorpreal Medical procedure performed outside the body
Extracorporeal membrane oxygenation (ECMO) is a
treatment that uses a pump to circulate blood through
an artificial lung back into the bloodstream of a very ill
ECMO my info
baby. This system provides heart-lung bypass support
outside of the baby's body. It may help support a child
who is awaiting a heart or lung transplant.
An invasive technique in which blood is drained from
the venous system, mechanically pumped through an
ECMO Is defined as?
artificial lung, and reinfused to the patient through
either the pulmonary or systemic systems
ECMO components are cardiopulmonary bypass machines and are designed for
essentially modifications longer duration of support given in an ICU setting
of?
support organ function in patients with pulmonary or
ECMO primary goal is to
cardiopulmonary
Congenital Diaphragmatic Hernia
Use of ECMO
Neonatal Hypoxemic Respiratory Failure
Neonatal Hypoxemic Respiratory Failure
•Includes patients with PPHN, MAS, RDS, sepsis, and air
Uses of ECMO with leak syndromes
Neonatal Hypoxrmic •75% survival after ECMO
•All diseases are reversible which is a key element for
positive outcomes
, is unclear and somewhat controversial because the
degree of lung hypoplasia and pulmonary hypertension
is difficult to predict
•Some centers have adopted a philosophy that if
conventional interventions fail, the degree of lung
Uses of ECMO with CDH
hypoplasia and subsequent pulmonary hypertension is
considered non-life sustaining and ECMO is felt to be
useless
•ECMO continues to be used as somewhat of a rescue
modality, but survival rates have remained at 50%
interrupting the cycle of pulmonary HTN, improves
Using ECMO aids in perfusion and organ function, and allows protective
lung strategies
An important aspect the reversible nature of the underlying condition and
guiding the decision to use the timing of the decision
ECMO?
•Oxygen Index > 40
•OI = (Paw x FiO2 x 100)/PaO2
When is it time to stop
•Fatal congenital anomalies
exposing the neonate's
•Weigth > 2 kg
lungs to high ventilator
•Gestational Age > 32 weeks
pressures and FiO2s?
•IVH
•No bleeding disorders
Venoarterial System
2 types of ECMO systems
& Venovenous System
What can be controlled by •Oxygenation and cardiac function can be controlled
the Venoarterial System
What two cannula are Arterial cannula and venous cannula
inserted in the venoarterial
System?
Where is the venous via the right internal jugular vein which drains blood
cannula inserted in the from the right atrium
venoarterial system?
Where is the arterial Via the right common carotid artery which reinfuses the
cannula inserted in the oxygenated blood into the aortic arch
venoarterial system?
Save
Terms in this set (39)
ECMO stands for Extracorpreal Membrane Oxygenation
Extracorpreal Medical procedure performed outside the body
Extracorporeal membrane oxygenation (ECMO) is a
treatment that uses a pump to circulate blood through
an artificial lung back into the bloodstream of a very ill
ECMO my info
baby. This system provides heart-lung bypass support
outside of the baby's body. It may help support a child
who is awaiting a heart or lung transplant.
An invasive technique in which blood is drained from
the venous system, mechanically pumped through an
ECMO Is defined as?
artificial lung, and reinfused to the patient through
either the pulmonary or systemic systems
ECMO components are cardiopulmonary bypass machines and are designed for
essentially modifications longer duration of support given in an ICU setting
of?
support organ function in patients with pulmonary or
ECMO primary goal is to
cardiopulmonary
Congenital Diaphragmatic Hernia
Use of ECMO
Neonatal Hypoxemic Respiratory Failure
Neonatal Hypoxemic Respiratory Failure
•Includes patients with PPHN, MAS, RDS, sepsis, and air
Uses of ECMO with leak syndromes
Neonatal Hypoxrmic •75% survival after ECMO
•All diseases are reversible which is a key element for
positive outcomes
, is unclear and somewhat controversial because the
degree of lung hypoplasia and pulmonary hypertension
is difficult to predict
•Some centers have adopted a philosophy that if
conventional interventions fail, the degree of lung
Uses of ECMO with CDH
hypoplasia and subsequent pulmonary hypertension is
considered non-life sustaining and ECMO is felt to be
useless
•ECMO continues to be used as somewhat of a rescue
modality, but survival rates have remained at 50%
interrupting the cycle of pulmonary HTN, improves
Using ECMO aids in perfusion and organ function, and allows protective
lung strategies
An important aspect the reversible nature of the underlying condition and
guiding the decision to use the timing of the decision
ECMO?
•Oxygen Index > 40
•OI = (Paw x FiO2 x 100)/PaO2
When is it time to stop
•Fatal congenital anomalies
exposing the neonate's
•Weigth > 2 kg
lungs to high ventilator
•Gestational Age > 32 weeks
pressures and FiO2s?
•IVH
•No bleeding disorders
Venoarterial System
2 types of ECMO systems
& Venovenous System
What can be controlled by •Oxygenation and cardiac function can be controlled
the Venoarterial System
What two cannula are Arterial cannula and venous cannula
inserted in the venoarterial
System?
Where is the venous via the right internal jugular vein which drains blood
cannula inserted in the from the right atrium
venoarterial system?
Where is the arterial Via the right common carotid artery which reinfuses the
cannula inserted in the oxygenated blood into the aortic arch
venoarterial system?
