Tubes Galore
This cannula takes blood from the body to the pump
Venous Cannula
Provides only Respiratory Support
VV ECMO
Upper and lower limits charted every 4 hours.
What are back flow prevention and alarm limits
This pressure is on the arterials side of the ECMO circuit and may increase with downstream obstruction or cannula issues.
What is return pressure
The phenomenon that occur during femoral VA ECMO where the upper half of the patient is pink and the lower half is blue.
What is harlequin syndrome or North/South syndrome.
This cannula delivers blood back to the body
Arterial Cannula
This mode does not require you to have a pulse
VA
This bedside task includes proper suction technique, patient turning procedures, syringe pump connection awareness while attached to ECMO pump, emergency pump failure planning, and correct clamping procedures during a emergency.
What is the ECMO bedside and safety review
This pressure monitors drainage from the patient to the ECMO circuit and becomes more negative when venous drainage is compromised.
What is venous pressure.
This 30-60 minute time period is the half life of what anticoagulation.
What is heparin
This is used to decompress the left side of the heart during VA ECMO
LV Vent
The procedure in which the sweep gas is disconnected from the oxygenator and ventilation is adjusted according is known as a?
VV trial off
This task confirms all tybands are in proper position and not loose
What is a hourly circuit check
This measurement represents the pressure difference across that oxygenator and can indicate clot burden when elevated.
What is transmembrane pressure (TMP).
This is where gas exchange happens on the pump.
What is the oxygenator
This is left open on a less than 10kg patient and closed on a patient greater than 10kg
Flashing the cannulas is required during which trial off?
VA
This task is performed every 4 hours to ensure the ECMO cannula dressing remains clean , intact secure.
What is the 4 hour cannula dressing check
This setting represents the rotational speed of the pump head and directly impacts circuit flow.
What are RPM's
These should be attached to the ventilator and in your orders.
What are emergency vent settings
This cannula is distal of the femoral VA cannula
reperfusion cannula
A dual lumen cannula can support both VA and VV ECMO?
False
This intervention should occur when blood is present in the pigtail clave to reduce infection risk and maintain line integrity
What is changing the clave if blood is present.
This ECMO setting controls the removal of carbon dioxide by regulating the flow of gas through the oxygenator.
What is sweep gas.
True or False: you may need higher doses of certain medications when on ECMO
True