Extracorporeal Membrane Oxygenation (ECMO): Principles, Types, Anatomy, Indications, Complications.
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- Опубліковано 8 лип 2024
- Extracorporeal Membrane Oxygenation, more commonly referred to as ECMO, first started in the pediatric world before becoming more and more prominent in adults. It is used for patients with severe respiratory or hemodynamic failure as a means to try and support these patients long enough for their heart or lungs to recover. This video is an introduction to understanding ECMO. We discuss the general principles of what ECMO is and how it works. We then dive into the different types of ECMO, such as VV-ECMO (venovenous) and VA-ECMO (venoarterial). We illustrate the differences between these two types of ECMO, their indications, and the anatomy related to how they work. We then discuss the indications and contraindications for cannulating a patient for ECMO. We go into what needs to be done by the care team daily to maintain the ECMO circuit and optimize the patient. Lastly, we dive into the many potential complications that can result when a patient is on ECMO. Check out the video for all these details and more!
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#ecmo #hemodynamics #medicaleducation
Currently a first year resident and our program's introducing ECMO. Having no idea what it was before, this was a brilliant overview presentation! Thank you!
Love to hear that! If you have any other topics you’re interested in us covering, ECMO related or otherwise, let us know!
Informative introductory video, thanks.
One point for those who may be confused:
There’s an error with the ‘Retrograde Flow’ diagram and brief explanations (even though V-A is correctly explained in the earlier drawing). Blood is not taken from the femoral artery, it is taken from a vein, and returned via an artery.
and this error is again repeated in the complications section (because it uses the same image to explain cardiac thrombosis). But surely it is a great video :)
I know one person, a male teacher in his 50s who survived being on ECMO for several weeks. He is in rehab now, but I don’t know the state of his poor body or what his future holds. It sounds ghastly. Thanks for this, doc!
Excellent explanation of this last resort therapy! It's amazing that anyone survives such an invasive procedure when they are already in a weakened state. While I was watching I couldn't help but recall the impressive results of aviptadil in their compassionate use cohort. Most of those C19 patients were on ECMO and still recovered after tx. Your video made me realize just how amazing their results were.
Excellent! Thanks for a great lecture!
Keep it on...!
I really enjoy this video. I am always interested in how others explain ECMO. Brilliant job.
We love to hear that! Thanks for checking it out!
Excellent Video. thank you!!!
Always our pleasure! So glad you found it helpful!
Excellent presentation❤😊
Thank you
Thank you for the kind words and for checking out the video!
Extremely excellent 👏
Glad to hear it was helpful! Appreciate the kind words and thanks for checking out the video
In addition to all the shared work/educating us!, your delivery style is both concise AND gentle/kindly delivered - in order not to terrorize those of us not hardened by a profession full of ‘blood & guts’.
To say, your cadence and tone of voice has your vids on my top list, a nice place to regularly visit to learn - and hear a fav yt friend!
We appreciate those kind words and are so glad you find value in the content!!
Excellent explanation very clear illustration , just i would like to say for indication for vv ecmo in respiratory value oxygen index value is more relevant to know than p/f ratio as these patient are already on ventilators and oxygen index is more precise in severity stratification than p/f ratio. thanks again
I have had 3 people sent to VV ECMO. All men in upper 50’s that failed full MATH+, IVM. All died; we lack a therapy to keep the diffuse alveolar damage from progressing to fibrosis in genetically predisposed patients who get huge inoculums... all current therapies do is prolong the end. Being an old lab guy, ECMO is good for blood bank as you increase oxygen delivery by transfusing... this and the plasma fun have really reinvigorated the blood bank.
Well this is a wonderfully informative video on a super interesting medical technology. Thank you very much for your efforts here and I sincerely/seriously look forward to any and all follow up videos going into more detail on the remarkable ECMO medical technology. As an inventor I have a few very basic questions such as: Why would they use a centrifugal pump? Which can lyse the blood cells! Why not employ a pump with valves and pressure chambers gently pulsing the blood in a manner much more closely mimicking the natural pulsing of the heart? Second, how much attention has been paid to attempting to coat the parts of the pump, tubing, membranes and cannulas with rapamycin and anticlotting compounds like they do with stents? Or, if there were enough time, what about growing compatible endothelial cells to coat the blood facing linings of the various ECMO parts for preventing clotting?
Again, thanks for your excellent video. Hopefully you will make more on ECMO!
Subscribed! and heading for paypal or patreon for you... :-)
How long would it take to grow the endothelial cells? How long would they last?
Bravo 10/10
Thanks for checking out the video and for the kind words!
nice
Thanks for checking it out!
Hello. My 3 month old daughter is in ECMO after having a horrible cardiac arrest. Her feet and legs are now turning black. Can you tell me why this is happening and any treatments/medicines I can use to help her
You really need to talk to the ECMO specialists, nurses and doctors who are taking care of your daughter. They will know the specifics for her case.
There are different things that could have occurred that could have caused what you are seeing. But without knowing the medical specifics, it could be detrimental to guess.
Again, I encourage you to talk to the team taking care of your daughter. Ask them the questions you have, they will know her case best.
Write down your questions. Ask for time to talk to those taking care of her so they can listen to you, and respond.
And know you can ask the same questions again. Also be aware that some of the answers may not be known yet, and that time may be what is needed.
I am sorry your daughter and you are going through this.
@@doesthisunithave1soul46 thank you for your reply
Disadvantage of ecmo is the obstruction of blood supply distal to the arterial cannulation site in the limb.prevenrion is placing a cannula on the distal part also,so that perfusion is retained.... There may be other causes also in your case.....I am extremely sorry for what you n your child is going through.May God give you strength....❤
@@avrakundu2719 Hello can I message you directly for you to tell me more about what you know about ECMO?
It's a very complex treatment, but I wonder what the quality of life is afterward for patients who need it.
Saving a life is always the main goal of doctors, but there is no guarantee that the quality of the life saved will be good.
It can depend on many things. Like why they went on ECMO in the first place.
Nothing in medicine is without risk, and no treatment is guaranteed.
Also, at least I the USA, the patients and family often choose quantity over quality - not the medical team.
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