Flight Nurse Air Methods St. Louis, Missouri, United States
This session will provide an overview of central Venoarterial ECMO as well as discuss the management and transport of post-operative cardiothoracic surgical patients on ECMO support. Central V-A ECMO, specifically CT surgical patients transitioned from cardiopulmonary bypass, are less frequently encountered and pose unique challenges for a transport clinician. Discussion will include conditions such as Post-cardiotomy shock, Vasoplegic Syndrome, and post-operative hemorrhagic shock as well as therapies such as Methylene Blue and Epicardial pacing.
Learning Objectives:
differentiate between peripheral and central V-A ECMO cannulation
identify two post-cardiotomy complications and their treatment
demonstrate understanding of transport considerations for patients on central V-A ECMO
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