EMCrit 265 – ECPR 2.0 (ECMO CPR)

February 5, 2020 by Scott Weingart 2 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

Author
Recent Posts

Scott Weingart

An ED Intensivist from NY. No conflicts of interest (coi).

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Cite this post as:

Scott Weingart. EMCrit 265 – ECPR 2.0 (ECMO CPR). EMCrit Blog. Published on February 5, 2020. Accessed on March 31st 2020. 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.

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Comment Here

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Guest

Ben

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

Guest

Colin Roach

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

What's Your Job?

ER Tech/Medical Student

EMCrit 265 – ECPR 2.0 (ECMO CPR)

ECPR 2.0