SCCM Resource Library-ECMO Candidacy for Patients With Liver Disease: Is This Stretching Too Far?

ECMO Candidacy for Patients With Liver Disease: Is This Stretching Too Far?

Video Transcription

Video Summary

The presentation discusses the use of ECMO (Extracorporeal Membrane Oxygenation) in liver transplant candidates, particularly pediatric patients, highlighting its potential to bridge the gap during critical phases. The presenter underscores the complex interplay of vasodilation, cardiac output issues, fluid shifts, and risks of bleeding and hypoxia in pre, during, and post-transplantation stages. Despite the relative contraindications associated with ECMO for liver issues, advances in technology and patient care have shown improved outcomes paralleling those seen in pediatric ECMO. The talk emphasizes the importance of anticipation, clear standards for ECMO initiation, and management, alongside robust multidisciplinary communication. Success stories from Stanford indicate that adequate preparation and anticipating ECMO can lead to favorable outcomes, although the procedure's complexity and complications, such as neurodevelopmental impacts, bleeding, and sepsis risks, emphasize the need for careful case-by-case evaluation and robust institutional support.

Asset Caption

One-Hour Concurrent Session | Joint SCCM-ESPNIC Session: Because You Can Does Not Mean You Should: How Far Can One Go in Liver ICU?

Meta Tag

Content Type Presentation

Membership Level Professional

Membership Level Select

Year 2024

Keywords

ECMO

liver transplant

pediatric patients

multidisciplinary communication

neurodevelopmental impacts

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