Cases/

Case 30 — Hybrid circuit, day 2

VVadvanced00:00Score 100
VV-ECMOadvanced8 min

Case 30 — Hybrid circuit, day 2

Handover

VV day 4 for viral ARDS. Overnight MAP 46, lactate 4.6, D-sign, cool mottled knees. The arterial sheath is already in. The team wants to add an arterial return onto this circuit. The existing 21-Fr IJ return is still wide open.

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

Goals

  • · Converted to V-VA
  • · Qart ≥ 2.0 L
  • · Qven ≥ 1.0 L
  • · MAP ≥ 62