Tubes Galore
This cannula takes blood from the body to the pump
This form provides only respiratory support
VV ECMO
Go here for the initiation checklist
Charge nurse desk
This is where the gas exchange happens on the pump
Oxygenator
This cannula delivers blood back to body
Arterial cannula
This form does not require you to have a pulse
VA ECMO
We keep the FiO2 >40% to make sure these get enough O2
This is adjusted to change your CO2 levels
Sweep
This cannula is on the leg in a femoral cannula
Reperfusion cannula
This is how you trial off VV ECMO
You disconnect the gas
Name a contraindication to ECMO
Under 34 weeks gestation
Under 2 kg
Pre-existing, severe, chronic lung disease
Severe congenital anomalies and/or medical conditions associated with limited near-term survival
Recent intra-cranial bleeding or a bleeding disorder
This is adjusted to increase speed/cardiac output
RPMs
This cannula is used to decompress the left side of the heart during ECMO
LA vent
This is what you do with your anticoagulation on during a VA ECMO trial off
Split the anticoagulation between the circuit and the patient
These should be taped to the ventilator and in your orders
Emergency vent settings
Because of this part of the pump, you have to draw blood cultures every other day
Heater
This is when your platelets and clotting factors keep dropping
Circuit DIC (consider changing circuit)
True or False: you will always have normal sats on VV ECMO
False: will have mixing (sat goals often 80-95%)
True or False: you may need higher doses of certain medications when on ECMO
True
This is trended on the ECMO pump to measure cardiac output, oxygen delivery, and oxygen consumption
SVO2