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
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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).
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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!
https://www.ncbi.nlm.nih.gov/pubmed/27523953
We at have a great time listening to your podcast, thanks!
Hello great talk can you please some reading references in regards to this topic
[…] 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 […]