VV-ECMOintermediate6 min
The circuit is chattering
Handover
VV after a big diuresis for wet lungs and some cannula-site oozing. Flow is falling at a fixed RPM, Pven is deeply negative, and the access line chatters with each beat. CVP is 4. The night nurse has already tried spinning faster once.
Uncorrected hypoxemia, shock, or a dead circuit progresses to pre-arrest, then a code.
Goals
- · Pven ≥ −60
- · Flow ≥ 3.5
- · Preload restored