Cases/

Case 23 — Dual-lumen, still hypoxemic

Avalonintermediate00:00Score 100
Avalon-ECMOintermediate7 min

Case 23 — Dual-lumen, still hypoxemic

Handover

A 31-Fr dual-lumen cannula went in via the right IJ at 02:00. No echo or fluoro since insertion. RPM 3600, flow 3.9 L, FdO₂ 1.0, SpO₂ 83%, pre-oxy SvO₂ 91%. The return mark is rotated toward the pillow.

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

Goals

  • · Return jet on the TV
  • · Position confirmed on echo
  • · SpO₂ ≥ 90%