ECMO

Question 1

what is ECMO

Answer 1

extra corporeal membrane oxygenation

Question 2

V-A ECMO

Answer 2

oxygenated blood directly to arteries, by passing failing heart

Question 3

V-V ECMO

Answer 3

provides O2 through vein

Question 4

V-PA ECMO

Answer 4

right ventricle support post LVAD insertion

Question 5

EO meaning

Answer 5

ECMO oxygen content

Question 6

EF meaning

Answer 6

ECMO flow

Question 6

NF meaning

Answer 6

non-ECMO flow

Question 6

NO meaning

Answer 6

non-ECMO oxygen content

Question 7

how does ECMO flow rate differ from resting CO

Answer 7

flow is equal to CO which is 5-6

Question 8

sweep glass flow rate

Answer 8

flow rate through the membrane lung determining blood decarboxylation

Question 9

4 common side effects of ECMO

Answer 9

bleeding, infection, clots, low blood flow to certain areas

Question 10

Pt related complications to stop exercise while on ECMO

Answer 10

• Hemodynamic instability
  -Sustained desaturation to <85%
  -Cardiac arrest
  -Arrythmia
  -Bleeding at catheter site
  -New limb ischemia
  -Non-ECMO catheter dislodgement

Question 11

circuit related complications to stop exercise while on ECMO

Answer 11

• Oxygenator failure
  -Pump failure
  -Cannula dislodgement
  -Tubing rupture
  -Interruptions in blood flow

Question 12

What ECMO settings might be increased by the team during a PT session?

Answer 12

Sweep gas flow rates, ECMO blood flow rates, and supplemental oxygen may all be increased as needed

Question 13

what are all the signs/symptoms that would cause interruption or termination of PT while a pt is on ECMO?

Answer 13

Changes including hemodynamic instability, hypoxemia, dizziness, weakness, chest pain, or dyspnea