Cases/

Hypertensive, tight LV on support

VAintermediate00:00Score 100
VA-ECMOintermediate6 min

Hypertensive, tight LV on support

Handover

VA. MAP 105 on residual pressors, pulse pressure tight, lungs wetter, CVP high. Flow is already 4.8 L. The team has been “running high for safety” since last night. The aortic valve is barely opening.

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

Goals

  • · MAP 65–85
  • · LV unloaded