Cases/

Case 05 — Rising circuit gradient

VVintermediate00:00Score 100
VV-ECMOintermediate7 min

Case 05 — Rising circuit gradient

Handover

Hours into VV. Same RPM, less flow. The ΔP alarm has been chirping for 40 minutes and the membrane looks mottled when you shine a light through it. Gases are slowly drifting the wrong way. ACT 160.

Uncorrected hypoxemia, shock, or a dead circuit progresses to pre-arrest, then a code.

Goals

  • · Membrane failure corrected
  • · ΔP ≤ 25
  • · SpO₂ ≥ 90%