Cases/

Equalizing pressures after cannulation

VAadvanced00:00Score 100
VA-ECMOadvanced8 min

Equalizing pressures after cannulation

Handover

VA, shortly after initiation. CVP is climbing, flow is falling, pulse pressure is narrow. Fluids help for a minute and then don’t. Pven is getting more negative as you add RPM. Something extracardiac may be compressing filling.

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

Goals

  • · Echo obtained
  • · MAP improved after recognition