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History of ECMO
ECMO Criteria
ECMO Pathophysiology
Oxygen Consumption
ECMO Follow Up
100
He is the considered the father of ECMO.
Who is Robert Bartlett?
100
To identify patients who would benefit from ECMO and limit it to those that undesirable complications are acceptable.
What is the goal of the ECMO Center
100
The concept that oxygen delivery meets oxygen demands.
What is the key to life?
100
The calculation to determine oxygen delivery.
What is cardiac output (CO) x oxygen content (Cao2)?
100
Is the development of the nervous system, including the brain. The building of neurological pathways that enable performance and function.
What is neurodevelopment?
200
Conceived the idea of the first heart/lung machine in 1931
Who is John Gibbon?
200
Most widely used indicator of morbidity?
What is the OI (oxygen index)?
200
Extracorporeal membrane Oxygenation
What is ECMO
200
Affects the ability to consume oxygen.
What are metabolic demands?
200
The inpatient services in PICU for ECMO patients.
What is occupational therapy, physical therapy and speech therapy?
300
The international non-profit consortium of health care centers & individuals dedicated to the development, improvement & evaluation of ECMO.
What is ELSO?
300
Gestational age >34 weeks Birth weight > 2kg Reversible Lung Disease Absence of uncontrollable bleeding or coagulopathy IVH < Grade III No uncorrectable congenital heart disease Failure of optimal medical management No Lethal Anomalies
What is Neonatal Inclusion/Exclusion Criteria
300
ECMO Modality that primarily takes over lung function with a small amount of cardiac support.
What is VV ECMO
300
The transport of oxygen to the tissues to be used for energy production.
What is oxygen delivery (DO2)?
300
A Neurodevelopment clinic that follows NICU graduates, cardiac patients and other at risk patients referred for the first three years of life?
What is the EDGE Clinic?
400
The first successful disease process treated in a newborn with ECMO.
What is meconium aspiration
400
Complete History and Physical Baseline blood work Head Ultrasound Cardiac ECHO
What are potential Pre-ECMO Evaluation Tests?
400
The ECMO Modality that takes over cardiac function either completely or partially
What is VA ECMO?
400
Three components that work together to support oxygenation
What is pulmonary gas exchange, hemoglobin and cardiac output?
400
Imperative to prevent the following: ICU delirium Impaired exercise capacity ICU-acquired weakness-begins within 48 hours and patients can have up to 40% muscle loss in the first week poorer functional outcomes and quality of life Decreased bone density
What is early mobilization?
500
A repository of data from over 85,000 ECMO patients of all patients from all ECMO Centers.
What is the ELSO Database?
500
Degree of ventilatory support and duration Concerns of > 10 days OI of 40 > 6 hours Ventilator 12 hours to 7 days is 70% mortality PaO2 < 50 pH < 7.15 Persistent Air Leak Syndrome
What are some Pediatric Respiratory Selection Criteria?
500
The three major components of the ECMO Circuit.
What are the Cannulas, the pump and the oxygenator?
500
A reflection of the balance between oxygen delivery and oxygen consumption
What is SVO2 or venous oxygen saturation?
500
The Healing environment Partnering with Families Positioning & Handling Safeguarding Sleep Minimizing Stress & Pain Protecting Skin Optimizing Nutrition
What is neuroprotective care/developmental care?