VV-ECMOadvanced8 min
Night call: was fine an hour ago
Handover
VV overnight. An hour ago sats were 94%. Now they are falling despite RPM 3900 and FdO₂ 1.0. The patient is febrile, agitated, and picking at the lines. Hb has drifted to 7.5. ΔP is only moderately up. Figure out what changed.
Uncorrected hypoxemia, shock, or a dead circuit progresses to pre-arrest, then a code.
Goals
- · SpO₂ ≥ 90%
- · Hb restored
- · VO₂ addressed