EMCrit FOAM Feed

EMCrit 265 – ECPR 2.0 (ECMO CPR)

02.05.2020 - By Scott D. Weingart, MD FCCMPlay

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This ECPR interview was origianlly published on edecmo.org. The interview was conducted by my buddy, Zack Shinar. I wanted to expose a broader audience to the episode, so I am reposting it here:

ECPR 2.0

The Patient

1. OOH Cardiac Arrest Patients are Different

Cannulation

2. Ultrasound-Guided Percutaneous Placement

3. Wire choices

4. Wire Location Verification

5. Small arterial cannulae

6. Simpler Circuits

Post-Pump Critical Care

7. Find the Injuries

8. Mandatory leg perfusion

9. Lower Anticoagulation Goals

10. Lower Flow Goals

11. Try to avoid venting – Truby et al. PMID:28422817, less is more

12. Understanding Cardiac Prognostication / Stunning

13. Understanding Neuro Prognostication

14. Protection/Ownership

15. In it for the Long Haul

16. Lower Anticoagulation and Hb targets

17. Parade your Successes to every person in the chain

Now on to the Podcast...

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