Cases/

Blue head, pink legs

VAintermediate00:00Score 100
VA-ECMOintermediate7 min

Blue head, pink legs

Handover

Femoral VA, native output coming back. The legs are pink and well saturated. The right hand is blue — SpO₂ 78% — and the right-radial ABG is dark. The membrane looks fine and lower-body sats are in the high 80s. Mixing point problem until proven otherwise.

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

Goals

  • · Upper body SpO₂ ≥ 90%
  • · Differential hypoxemia resolved