SCCM Resource Library-The Heart of the Matter: Updates in CV Surgery and Cardiology

Video Transcription

Video Summary

In this video, the pharmacist discusses updates in the management of critically ill cardiovascular surgery and cardiology patients, specifically focusing on extracorporeal membrane oxygenation (ECMO). ECMO is a temporary mechanical circulatory support used in refractory cardiopulmonary failure. The video highlights the increasing interest in ECMO and the complexity of anticoagulation during ECMO. Two recent papers compare the use of heparin and bivalirudin as anticoagulants during ECMO, with both papers suggesting that bivalirudin may be a favorable alternative due to its pharmacologic profile and potential for fewer bleeding and thrombotic complications. However, further studies are needed to fully evaluate the impact of bivalirudin on ECMO outcomes.

Asset Subtitle

Cardiovascular, Procedures, 2022

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 2022 Critical Care Congress held from April 18-21, 2022.

Meta Tag

Content Type Presentation

Knowledge Area Cardiovascular

Knowledge Area Procedures

Knowledge Level Intermediate

Knowledge Level Advanced

Learning Pathway Cardiothoracic Critical Care

Membership Level Select

Tag Cardiovascular

Tag Surgery

Tag Cardiothoracic Critical Care

Year 2022

Keywords

ECMO

anticoagulation

bivalirudin

pharmacologic profile

ECMO outcomes

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