ECMO MADE EASY

PRESENTER : DR TEOH HY
SUPERVISOR : DR FITRY

Objective

  • Discuss the Differences between ECMO & ByPass Machine and their respective usage and advantages
  • Outline the different configurations of ECMO
    • VA-ECMO
    • VV-ECMO
    • AV-ECMO
  • Discuss the advantages and disadvantages of each configuration of ECMO
  • Outline the Type of cannulation in VV-ECMO
  • Outline the Indications and Contraindications of ECMO
  • Outline the components of ECMO
  • Discuss the Physiology of ECMO in relation to Oxygen delivery.
  • Discuss the Impact of ECMO to CVS System.

Learning points

  • ECMO serves as a bridging therapy and not a curative therapy.
  • VV-ECMO – For severe Respi Failure
  • VA-ECMO – For severe cardiac failure with or without respi.failure
  • VV-ECMO has 4 types based on cannulation site
  • Gas exchange can be operator-manipulated by mainly 3 parameters:
    • FiO2 
    • Blood Flow
    • Sweap Gas flow

Discussion

  • ECMO aids not only in O2 delivery but CO2 removal based on Fick Law of diffusion.
  • ECMO allows cardiac recovery by offloading the work of the ventricle, Increases perfusion to vital organs by increasing blood flow and oxygenation.
  • Guidelines –ELSO exist for ECMO guide.

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