Dr. Lakshmi Raman is a Professor of Pediatrics at UT Southwestern and a pediatric intensivist at Children’s Medical Center Dallas. She serves as the Medical Director of the Extracorporeal Membrane Oxygenation (ECMO) program at CMC. She is active in ELSO and serves as the Chair of Publications. She also co-authored the 2021 ELSO Pediatric ECPR guidelines.

Objectives:

By the end of listening to this episode, learners should be able to:

1. Define ECPR.
2. Understand the rationale for ECPR in cardiopulmonary arrest in children.
3. Recognize aspects of high-quality ECPR.
4. Understand the patient selection, context and setting that is most appropriate for pediatric ECPR.
5. Recognize when it is appropriate to activate the ECPR team after pediatric cardiac arrest.
6. Understand the rationale of choosing the location of cannulation (i.e., peripheral vs. central).

References:

Guerguerian, Anne-Marie; Sano, Minako; Todd, Mark; Honjo, Osami; Alexander, Peta; Raman, Lakshmi. Pediatric Extracorporeal Cardiopulmonary Resuscitation ELSO Guidelines. ASAIO Journal: March 2021 - Volume 67 - Issue 3 - p 229-237
doi: 10.1097/MAT.0000000000001345 

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Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at [email protected]. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.