VV-ECMOintermediate7 min
Gradient climbing, flow slipping
Handover
Hours into VV. Same RPM, less flow. The ΔP alarm has been chirping for the last 40 minutes and the membrane looks mottled when you shine a light through it. Gases are slowly drifting the wrong way. ACT is 160.
Uncorrected hypoxemia, shock, or a dead circuit progresses to pre-arrest, then a code.
Goals
- · Membrane failure corrected
- · ΔP ≤ 25
- · SpO₂ ≥ 90%