SCCM Resource Library-Frontiers in ECMO: Is It Wizardry or Witchcraft?

Video Transcription

Video Summary

The session was focused on various aspects of ECMO, including the physics of arterial and venous catheters, the benefits and limitations of percutaneous versus open cannulation, and the challenges of ECMO cannulas. It was highlighted that successful ECMO begins and ends with a cannula, and that proper cannulation is crucial for patient support. The importance of early mobilization on ECMO was emphasized, with the goal of reducing sedation, preventing muscle wasting, and optimizing neurocognition. It was noted that sedation and immobility can have negative effects on long-term outcomes, and that early mobilization can help improve physical health, neurodevelopment, and quality of life for ECMO patients. Long-term survival rates were discussed, with studies showing that survival rates vary depending on the type of ECMO and the underlying condition. It was noted that while long-term survival rates have improved, there can still be long-term disabilities and challenges for ECMO patients, such as reduced pulmonary function, sensorineural hearing loss, neurodevelopmental issues, and reduced quality of life. In conclusion, the session highlighted the importance of proper cannulation, early mobilization, and long-term support for ECMO patients. It emphasized the need for ongoing monitoring and interventions to improve outcomes for these patients.

Asset Subtitle

Procedures, Pediatrics, 2020

Asset Caption

The Society of Critical Care Medicine's Critical Care Congress features internationally renowned faculty and content sessions highlighting the most up-to-date, evidence-based developments in critical care medicine. This is a presentation from the 2020 Critical Care Congress held February 16-19, 2020, in Orlando, Florida, USA.

Learning Objectives

Explain current strategies in cannulation and their implications on outcomes
Describe controversies and innovations in current anticoagulation strategies on extracorporeal membrane oxygenation (ECMO)
Describe practical current strategies for mobilization of patients on ECMO
Apply the current knowledge available on post-ECMO outcomes toward patient management

ECMO Cannulation Strategies: Science or Divination?

Bradley A. Kuch

Wingardium Leviosa! Mobilizing Patients on ECMO

Sebastian C. Tume

The Boy Who Lived: Updates on Functional Outcome After ECMO

Ravi R. Thiagarajan

Meta Tag

Content Type Presentation

Knowledge Area Procedures

Knowledge Area Pediatrics

Knowledge Level Advanced

Membership Level Select

Membership Level Professional

Membership Level Associate

Tag Extracorporeal Membrane Oxygenation ECMO

Tag Cardiothoracic Critical Care

Year 2020

Keywords

ECMO

cannulation

mobilization

sedation

long-term survival

pulmonary function

hearing loss

neurodevelopment

quality of life

monitoring

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