Cases/

Case 07 — Low-flow shock

VAintro00:00Score 100
VA-ECMOintro6 min

Case 07 — Low-flow shock

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. The cardiologist is asking why the numbers have not improved.

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

Goals

  • · MAP ≥ 65
  • · Flow ≥ 3.5
  • · Lactate trending ≤ 5.5