Critical Care Time 42. Extracorporeal Membrane Oxygenation
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Feb 10, 2025 Nick Villalobos, an Air Force physician and assistant professor of medicine, teams up with Kha Dinh, a pulmonary critical care physician and associate professor, to dive deep into the world of Extracorporeal Membrane Oxygenation (ECMO). They discuss the critical role of ECMO in treating severe respiratory failure, particularly ARDS, and share personal experiences from the COVID pandemic. The conversation stretches to ethical dilemmas in candidate selection, the complexities of cannulation, and the interplay of emotional support in critical care decisions. It's an enlightening and fun exploration for any healthcare professional!
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ECMO Accessibility
- ECMO is becoming more common, even outside major medical centers.
- It is used in various settings like cardiac arrests and pre-hospital care.
ECMO for ARDS
- Consider ECMO for ARDS patients failing conventional ventilation.
- The case presented illustrates a typical ECMO candidate.
ECMO as a Bridge
- ECMO should be a bridge to recovery or transplant, not a destination.
- Consider the patient's overall prognosis and goals of care before initiating ECMO.