Cases/

Case 26 — Hybrid circuit, uneven split

V-VAadvanced00:00Score 100
V-VA-ECMOadvanced8 min

Case 26 — Hybrid circuit, uneven split

Handover

VV for ARDS. Overnight MAP 48, lactate rising, echo D-sign. An arterial return was Y’d off the post-membrane tubing. Total flow is still 4.3 L. Almost all of it still returns to the RA. The new 17-Fr arterial cannula barely registers.

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

Goals

  • · Qart ≥ 2.0 L
  • · MAP ≥ 62
  • · Qven ≥ 1.0 L
  • · SpO₂ ≥ 88%