Not a prophecy even, an normal expected course of life, epi/pandemics have been forever present on Earth. At least there’s ECMO to help people survive nowadays
I was on ecmo on 10/20/18 it was so painful to cough and I notice I’m a bit different sense being on it and my health has declined a lot but thankfully it kept me alive the Doctors and nurses at SLU were amazing
Very nice presentation, not too thorough but some great points! Great presenter! I have a question about one of the last data sets about relating increased survival rates to earlier ECMO utilization in the hospitalization. Wouldn’t that data set be heavily skewed by the fact that the longer that patients are in the hospital (or an increased length of stay in the ICU), they are probably more sick and thus have an increased likeliness of mortality? I would be curious to see a data set similar that would take ECMO out of the equation. If people were in the ICU for longer, they would most likely have a higher mortality I would think.
Thank you for your comment Carrie: If you have a specific lung issue and you are not able to provide optimal lung rest settings, then time on the vent with high pressures and high FIO2 cause additional lung injury. In that context, early ECMO is believed to benefit survival because you are able to greatly reduce the barotrauma and high inspired FIO2 injury pattern.
Dear Joe, A few months ago I already developed a concept for reducing the formation of thrombosis in extracorporeal machines. This has the following advantages, among others: ◦ Increase in the possible duration of use of the treatment. ◦ Reduction of the dosage of anticoagulants such as heparin and thus the reduction of the risk of bleeding. How important do you think that is and how do I get contacat with licensees I haven't patented the concept yet, so I can't give much detail yet. Thank you. Best regards Noomen Abdelkafi (from Germmany)
Thank you for this presentation. I've been a nurse for a long time but I'm just starting to learn ECMO. I do practice Peds CVICU, any help or recommendations I would greatly appreciate it.
Thank you Orlando. You need a lot of practice and I would recommend following ELSO. There are a lot of practice variability with ECMO, however, ELSO and the SCCM have good protocols and data.
Chaos Thanks for sharing that bit of information. Was looking in to what was being used in ICU units with the virus, and came across ECMO being used with a patient in China.
Myles: We did not have this Corona Virus Pandemic when this lecture was given. We will redo this for you with more contemporary information. However, the cannulation strategies will remain the same. Thanks for the comment.
Hi Steve: Certainly you are correct that adding anything increases risk. However, our technique minimizes risk and are far outweighed by the benefits. I will say that it should only be done by highly trained ECMO specialists.
Hi Christopher. It is interesting that there seems to be less use of ECMO during this Covid-19 crisis than during H1N1 in 2010. I have heard from some colleagues that ECMO is not as helpful, however, this does not yet make sense to me. We will surely explore this in the very near future.
"what if we had a new epidemic, something thats worse then H1N1?" Those are some prophetic words my man.
I know.... Thanks Chaos.
Not a prophecy even, an normal expected course of life, epi/pandemics have been forever present on Earth. At least there’s ECMO to help people survive nowadays
@Huxley Ian Instablaster :)
i am currently a student who have ecmo duty as perfusionist and this video have been great source of knowledge
My then 4 year old grandson was placed on Ecmo..he had parainfluenzia type 2 and went septic..he is now a healthy happy 9 year old 😊
That is fantastic Lynn.
God bless him.
it's a better explanation for this theme i've ever seen
I was on ecmo on 10/20/18 it was so painful to cough and I notice I’m a bit different sense being on it and my health has declined a lot but thankfully it kept me alive the Doctors and nurses at SLU were amazing
You should thank the Perfusionists as well
What do you mean when you say your different since you've been on it?
Im just curious as to if it causes problems later in life.
Stephanie: We are so happy you did well and fully recovered. We would be very interested to hear your story.
Omg. Wish you a happy life .
Excellent presentation
Interesting informative presentation. Thank you for posting.
Love the way he explains the beat and proper response from the heart itself and the whole body
Good educational day, brothers and sisters. Thank you to all.
Thank you Mike.
14:57
Not like Ebola outbreak...
Well... it's 2020 now, and it's COVID 19 time.
I imagine this technology would be essential given the Covid 19 virus
Interestingly, Veganath, this is a very provocative thought and we will be exploring this very soon.
Of course it is. Lungs got collapsed in critical covid cases. Then we can think of only Ecmo then
ECMO is actually being phased out slowly as a treatment for COVID. The mortality rate is the same.
Man.. so sad to know that he was right and hospital were indeed overwhelmed with ecmo needing patients because of covid pneumonia
Very helpful. Thank you.
Very nice presentation
Thank you Amit
"what if we had a new epidemic, something worse" very prophetical.
Watching July 2020. COVID20 cases on the Rise in RSA. ECMO the real answer as we learning more?
Very nice presentation, not too thorough but some great points! Great presenter!
I have a question about one of the last data sets about relating increased survival rates to earlier ECMO utilization in the hospitalization.
Wouldn’t that data set be heavily skewed by the fact that the longer that patients are in the hospital (or an increased length of stay in the ICU), they are probably more sick and thus have an increased likeliness of mortality? I would be curious to see a data set similar that would take ECMO out of the equation. If people were in the ICU for longer, they would most likely have a higher mortality I would think.
Thank you for your comment Carrie: If you have a specific lung issue and you are not able to provide optimal lung rest settings, then time on the vent with high pressures and high FIO2 cause additional lung injury. In that context, early ECMO is believed to benefit survival because you are able to greatly reduce the barotrauma and high inspired FIO2 injury pattern.
Incredible...
I cant believe people can get sent home on ECMO.
Dear Joe,
A few months ago I already developed a concept for reducing the formation of thrombosis in extracorporeal machines.
This has the following advantages, among others:
◦ Increase in the possible duration of use of the treatment.
◦ Reduction of the dosage of anticoagulants such as heparin and thus the reduction of the risk of bleeding.
How important do you think that is and how do I get contacat with licensees
I haven't patented the concept yet, so I can't give much detail yet.
Thank you.
Best regards
Noomen Abdelkafi (from Germmany)
Thank you for this presentation. I've been a nurse for a long time but I'm just starting to learn ECMO. I do practice Peds CVICU, any help or recommendations I would greatly appreciate it.
Thank you Orlando. You need a lot of practice and I would recommend following ELSO. There are a lot of practice variability with ECMO, however, ELSO and the SCCM have good protocols and data.
@@PerfWeb Thanks a lot! I followed your advice and I'm following ELSO. Again, great job.
@14:50 WOW!!! he's right...we got the COVID now
LOL 14:40, we had a massive pandemic since. Nice prediction 😂
Only 1435 of these things in the entirety of North America...
Chaos Thanks for sharing that bit of information. Was looking in to what was being used in ICU units with the virus, and came across ECMO being used with a patient in China.
Hi Chaos: Great point. With the current situation, readiness, specifically about your point, would be a great program. Will be scheduling.
How long ECMO can use in one patient???
Where does the CO2 go after it's removed from the blood?
Basics of ECMO
mohamed bakran 200
Have you find a good resource for ECMO that's passed the basics?
How can I get trained for ECMO?
Hello Kafaya, there are a few schools out there, however, I believe taking ELSO courses would serve you best.
@@PerfWeb thank you, I am a critical care nurse, I never worked in CVICU setting how can I become ECMO provider beside taking a course ?
14:25 "what if we have another epidemic?" :-|
Can they ask about ECMO in the corona virus briefings instead of stupid Questions
Myles: We did not have this Corona Virus Pandemic when this lecture was given. We will redo this for you with more contemporary information. However, the cannulation strategies will remain the same. Thanks for the comment.
incorporating an ECMO with a CRRT is , for me, a very very bad idea, that's like Murphy's Law x 2.
Hi Steve: Certainly you are correct that adding anything increases risk. However, our technique minimizes risk and are far outweighed by the benefits. I will say that it should only be done by highly trained ECMO specialists.
Well, your "Ebola pandemic" has turned up :(
Hi Christopher. It is interesting that there seems to be less use of ECMO during this Covid-19 crisis than during H1N1 in 2010. I have heard from some colleagues that ECMO is not as helpful, however, this does not yet make sense to me. We will surely explore this in the very near future.
Obnoxious presenter who makes lukewarm jokes and waits for you to laugh so he can feel good about himself. Just give us the information.