VA-ECMOadvanced8 min
Two problems at once
Handover
Femoral VA. Native output is returning and the right hand is desatting. At the same time the cannulated foot is cool with a weak Doppler. MAP is acceptable. Two problems. Do not fixate on one alarm.
Uncorrected hypoxemia, shock, or a dead circuit progresses to pre-arrest, then a code.
Goals
- · Upper SpO₂ ≥ 90%
- · Limb perfused
- · Harlequin resolved