SCCM Resource Library-Must-Know Controversies in Venoarterial ECMO Support

Video Transcription

Video Summary

This video discusses the challenges and considerations surrounding ECMO (extracorporeal membrane oxygenation) treatment. The importance of patient selection is highlighted, with factors such as the patient's underlying condition, severity of symptoms, and likelihood of improvement being crucial in determining whether ECMO is suitable. Diagnostic tests and monitoring, including TCD (transcranial Doppler) and biomarkers, are discussed for assessing brain function and organ health during ECMO treatment. A multidisciplinary approach involving various healthcare professionals is emphasized. Clear communication with patients and their families is discussed, along with the ethical considerations surrounding ECMO, such as end-of-life decisions and maintaining quality of life. The need for further research and advancements in ECMO technology to improve patient outcomes and optimize patient selection is also addressed.

Asset Subtitle

Procedures, Pulmonary, 2021

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 2021 Critical Care Congress held virtually from January 31-February 12, 2021.

Learning Objectives

Discuss controversies in the treatment of left ventricular (LV) distention during venoarterial extracorporeal membrane oxygenation (VA ECMO)
Recognize ethical and controversial considerations in VA ECMO
Discuss the potential role of VA ECMO as an initial circulatory support strategy in acute massive pulmonary embolism
Describe unique VA ECMO considerations in current clinical practice
Develop a comprehensive understanding of LV unloading, extracorporeal CPR, and ethical considerations in VA ECMO

Upfront Venoarterial ECMO for Massive Pulmonary Embolism
Subhasis Chatterjee

Cerebrovascular Physiologic Considerations in Venoarterial ECMO Management
Karin Reuter-Rice

Meta Tag

Content Type Presentation

Knowledge Area Procedures

Knowledge Area Pulmonary

Knowledge Level Advanced

Membership Level Select

Tag Extracorporeal Membrane Oxygenation ECMO

Tag Pulmonary Embolism

Tag Cardiothoracic Critical Care

Year 2021

Keywords

ECMO

extracorporeal membrane oxygenation

patient selection

underlying condition

severity of symptoms

likelihood of improvement

diagnostic tests

monitoring

TCD

transcranial Doppler

biomarkers

brain function

organ health

multidisciplinary approach

communication

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