60: ECPR 2.0 with Scott Weingart

     We’ve had some recent episodes on ECMO physiology.  Today’s episode focuses on the differences between ECMO physiology in the patient in cardiogenic shock versus the one in cardiac arrest. Scott Weingart talks with Zack about how the difference between these two patient populations is HUGE!  Scott also mentions details about cannulation and some critical post ECMO initiation pearls.         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  

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