ECMO Exam with Correct Answers
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Terms in this set (74)
1990s - what is newborn 83%
survival rate for ECMO?
2010s - what issue is cardiac arrest
treated with ECMO for the
first time?
1) Right internal jugular vein to SVC and femoral vein
Cannulation option for VV to IVC
ECMO? (2)
2) Dual lumen SVC/IVC to RA
Venous:
- right internal jugular vein to the RA
- femoral vein
Common cannulation sites
for VA ECMO Arterial:
- venous - right common carotid
- arterial - axillary
- post-cardiotomy - femoral artery
Post-cardiotomy:
- central cannulation
- coagulopathies
Contraindications for adult - nervous system danage
ECMO (4) - terminal illnesses (cancer, sepsis)
- pulmonary fibrosis
, - intracranial hemorrhage
Contraindications for - cogulopathies
neonatal ECMO? (4) - seizures
- chromosomal heart disease
- reasonable chance of survival with acceptable
Criteria for adult cardiac
quality of life
ECMO
- RA pressure?
RA pressure > 20 mmHg
- CI?
CI < 2 L/ min/ meter sq.
- ejection fraction?
EF < 30%
- urine output?
UO < 1 mL/ kg/ r
- A-a DO2?
A-a DO2 > 600 mmHg
Criteria for adult - Some reversible etiology
respiratory ECMO - pulmonary failure (severe hypoxemia or
- what sort of etiology? hypercapnia)
- what sort of failure?
- PIP? PIP > 50 cm H2O
- pCO2? pCO2 > 50
- PaO2? paO2 < 70 mmHg on 100% FiO2
- ventilator time? on ventilator < 4 days
- weight > 2kgs
- age > 34 weeks
Criteria for neonatal
- less than 14 days on ventilator
ECMO? (5)
- reversible disease
- exhaustion of medical management
Does VV ECMO have No
hemodynamic support?
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?
Save
Terms in this set (74)
1990s - what is newborn 83%
survival rate for ECMO?
2010s - what issue is cardiac arrest
treated with ECMO for the
first time?
1) Right internal jugular vein to SVC and femoral vein
Cannulation option for VV to IVC
ECMO? (2)
2) Dual lumen SVC/IVC to RA
Venous:
- right internal jugular vein to the RA
- femoral vein
Common cannulation sites
for VA ECMO Arterial:
- venous - right common carotid
- arterial - axillary
- post-cardiotomy - femoral artery
Post-cardiotomy:
- central cannulation
- coagulopathies
Contraindications for adult - nervous system danage
ECMO (4) - terminal illnesses (cancer, sepsis)
- pulmonary fibrosis
, - intracranial hemorrhage
Contraindications for - cogulopathies
neonatal ECMO? (4) - seizures
- chromosomal heart disease
- reasonable chance of survival with acceptable
Criteria for adult cardiac
quality of life
ECMO
- RA pressure?
RA pressure > 20 mmHg
- CI?
CI < 2 L/ min/ meter sq.
- ejection fraction?
EF < 30%
- urine output?
UO < 1 mL/ kg/ r
- A-a DO2?
A-a DO2 > 600 mmHg
Criteria for adult - Some reversible etiology
respiratory ECMO - pulmonary failure (severe hypoxemia or
- what sort of etiology? hypercapnia)
- what sort of failure?
- PIP? PIP > 50 cm H2O
- pCO2? pCO2 > 50
- PaO2? paO2 < 70 mmHg on 100% FiO2
- ventilator time? on ventilator < 4 days
- weight > 2kgs
- age > 34 weeks
Criteria for neonatal
- less than 14 days on ventilator
ECMO? (5)
- reversible disease
- exhaustion of medical management
Does VV ECMO have No
hemodynamic support?
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?
