VA-ECMOintro6 min
Shock on low support numbers
Handover
Refractory cardiogenic shock, femoral VA started in the cath lab. They left the pump at RPM 2200 / 2.2 L. MAP 52, lactate 6.5, native pulse weak, pressures otherwise quiet. The cardiologist is asking why “being on ECMO” has not fixed the shock.
Uncorrected hypoxemia, shock, or a dead circuit progresses to pre-arrest, then a code.
Goals
- · MAP ≥ 65
- · Flow ≥ 3.5
- · Lactate trending ≤ 5.5