EMCrit 265 – ECPR 2.0 (ECMO CPR)

February 5, 2020 by Scott Weingart, MD FCCM 5 Comments

This ECPR interview was origianlly published on edecmo.org. The interview was conducted by my buddy, Zack Shinar. I wanted to expose a broader audience to the episode, so I am reposting it here:

ECPR 2.0

The Patient
1. OOH Cardiac Arrest Patients are Different

Cannulation
2. Ultrasound-Guided Percutaneous Placement
3. Wire choices
4. Wire Location Verification
5. Small arterial cannulae
6. Simpler Circuits

Post-Pump Critical Care
7. Find the Injuries
8. Mandatory leg perfusion
9. Lower Anticoagulation Goals
10. Lower Flow Goals
11. Try to avoid venting – Truby et al. PMID:28422817, less is more
12. Understanding Cardiac Prognostication / Stunning
13. Understanding Neuro Prognostication
14. Protection/Ownership
15. In it for the Long Haul
16. Lower Anticoagulation and Hb targets
17. Parade your Successes to every person in the chain

Now on to the Podcast…

Podcast: Play in new window | Download (Duration: 38:34 — 35.7MB) | Embed

Subscribe: Apple Podcasts | Google Podcasts | Spotify | RSS | More

Author
Recent Posts

Scott Weingart, MD FCCM

Editor-in-Chief, at EMCrit.org

An ED Intensivist from NY.
Professor
Chief, Division of Emergency Critical Care
Director, Resuscitation and Acute Critical Care Unit
Stony Brook Medicine
Stony Brook, NY, USA
No conflicts of interest (coi).

Latest posts by Scott Weingart, MD FCCM (see all)

EMCrit 303 – A Bounceback Case with Mike Weinstock - July 23, 2021
EMCrit 302 – Pain Management Update with Sergey Motov - July 15, 2021
EMCrit 301 – The Five Fears with Rob Orman (Mind of the Resuscitationist) - July 1, 2021

Cite this post as:

Scott Weingart, MD FCCM. EMCrit 265 – ECPR 2.0 (ECMO CPR). EMCrit Blog. Published on February 5, 2020. Accessed on July 23rd 2021. Available at [https://emcrit.org/emcrit/ecpr-2-0/ ].

Financial Disclosures

Unless otherwise noted at the top of the post, the speaker(s) and related parties have no relevant financial disclosures.

You finished the 'cast,
Now get CME credit

Already an EMCrit CME Subscriber?
Click Here to Get CME Credit for the Episode

Not a subcriber yet? Why the heck not?
By subscribing, you can...

Get CME hours
Support the show
Write it off on your taxes or get reimbursed by your department

Subscribe Now

If you enjoyed this post, you will almost certainly enjoy our others. Subscribe to our email list to keep informed on all of the Resuscitation and Critical Care goodness.

This Post was by the EMCrit Crew, published 1 year ago. We never spam; we hate spammers! Spammers probably work for the Joint Commission.

5 Comments

oldest

newest most voted

Inline Feedbacks

View all comments

Ben

1 year ago

Imagining my place of employ being able to pull off an ECPR case seems as daunting as walking on the moon. Is there data on how many EDs in the US are currently doing this (or have a program and are waiting for their first case)? Thanks!

What's Your Job?

ED RN

-1

Colin Roach

1 year ago

Reply to Ben

https://www.ncbi.nlm.nih.gov/pubmed/27523953

What's Your Job?

ER Tech/Medical Student

-1

Rian

1 year ago

We at have a great time listening to your podcast, thanks!

What's Your Job?

internist

-1

Yasir Jawaid

10 months ago

Hello great talk can you please some reading references in regards to this topic

What's Your Job?

fellow

-1

The ARREST trial - ECMO CPR - First10EM

7 months ago

[…] to acknowledge the paucity of evidence for this intervention. For years we have heard about the tantalizing possibility of using ECMO for cardiac arrest. In fact, many centers already have ECMO-CPR programs. To date, the evidence has been limited to […]

EMCrit 265 – ECPR 2.0 (ECMO CPR)

ECPR 2.0