Thank you so much for doing this video. My husband went through this but obviously he was sedated so has no recollection. However he has had complications and seeing this video at home has helped him understand the lengthy healing process. As a nurse all medical procedures are fascinating. Again, thank you & keep making videos.
I have been a nurse for 28 years and have yet to see this amazing procedure. It is very similar to the cath procedure so the over all procedure is not foreign to me. Is all this done while traditional CPR is being done?
Once a patient is placed on ECMO, traditional hands-on CPR (compressions) are contraindicated. The ECMO machine will continue to perfuse the body even if the heart is in a non-perfusing/lethal arrythmia. They'll also most likely have devices implanted e.g. an impella, that would make CPR, which is already causing trauma to the patient, even more traumatic. Think of ECPR as a "chemical code," with medicine and electricity being the only tools used. Compressions are not performed while the patient is being cannulated.
Yes, spent 15 years in the operating room and 4 of that time was in Open Heart surgery. We would do valves, or septal defects requiring back then folks be placed on bypass ( Extracorporeal profusion) I was often the 1st or second assistant in these procedures. It just looks extremely difficult to have compressions going on during this process.
This isn’t a procedure you’d do on someone who is coding. It takes time to set up an ECMO machine, making it impossible for someone to be spontaneously and emergently cumulated for ECMO. Patients must be a candidate for V-A ECMO and V-V ECMO. Coding patients are certainly not candidates, UNLESS the patient was in the process of being canulated when they went into cardiac arrest. Furthermore, if your heart goes into arresting rhythm, VA ECMO is futile. You must have a functioning heart or else you’ll be completely dependent on ECMO and that is not realistic. tl;dr No, ECMO is not meant for arresting patients.
the coloring on the cannulas, if anything like the coloring on iv catheter or hypodermic needle hubs may be color coded to represent a specific size. for example, a gray iv catheter hub represents a large bore 16 gauge needle
I’m a RN currently being trained to be an ECMO specialist and this video really helped me understand the process better
Thank you so much for doing this video. My husband went through this but obviously he was sedated so has no recollection. However he has had complications and seeing this video at home has helped him understand the lengthy healing process. As a nurse all medical procedures are fascinating. Again, thank you & keep making videos.
I ****ing love these two gentlemen!
- Kinking
- Bending
- Introducer
- Inzert
Much love ❤
muchas gracias por el video excelente. un gran trabajo
This video helpful me a lot for my knowledge and understading how doctor are clever
Thank you so much！It is very helpful for me when we do the VAECMO.
I love this.
Can I ask you make a video for Xenios ECMO? Heard it has different way to connect the cannulas and the tubes. Anyway, Very helpful thank you😊
Amazing! Thank you a lot!!!!
thank you, was a great video
I have been a nurse for 28 years and have yet to see this amazing procedure. It is very similar to the cath procedure so the over all procedure is not foreign to me. Is all this done while traditional CPR is being done?
Once a patient is placed on ECMO, traditional hands-on CPR (compressions) are contraindicated. The ECMO machine will continue to perfuse the body even if the heart is in a non-perfusing/lethal arrythmia. They'll also most likely have devices implanted e.g. an impella, that would make CPR, which is already causing trauma to the patient, even more traumatic. Think of ECPR as a "chemical code," with medicine and electricity being the only tools used. Compressions are not performed while the patient is being cannulated.
Yes, spent 15 years in the operating room and 4 of that time was in Open Heart surgery. We would do valves, or septal defects requiring back then folks be placed on bypass ( Extracorporeal profusion) I was often the 1st or second assistant in these procedures. It just looks extremely difficult to have compressions going on during this process.
This isn’t a procedure you’d do on someone who is coding. It takes time to set up an ECMO machine, making it impossible for someone to be spontaneously and emergently cumulated for ECMO. Patients must be a candidate for V-A ECMO and V-V ECMO. Coding patients are certainly not candidates, UNLESS the patient was in the process of being canulated when they went into cardiac arrest.
Furthermore, if your heart goes into arresting rhythm, VA ECMO is futile. You must have a functioning heart or else you’ll be completely dependent on ECMO and that is not realistic.
tl;dr
No, ECMO is not meant for arresting patients.
Thanku sir My concept is clear now
Thank you for sharing this video
Great video! Nice :)
Very helpful 👍👍
Nice video
Thank you for sharing information
R u running Any fellowship program for a ECMO .... please let me know
Silar bilan qanday bog'lansa buladi
👍🏼💯
🔥💖🔥
Are they sleep
Hell yea
They can absolutely be awake.
7:49
Where’s the lidocaine? Just kidding, great video.
😂😂
I think propaphol will take care of that😊
Why are the cannulas grey?
the coloring on the cannulas, if anything like the coloring on iv catheter or hypodermic needle hubs may be color coded to represent a specific size. for example, a gray iv catheter hub represents a large bore 16 gauge needle
Doubt
Why using sutures to hold in place?. A high duct tape isn't sufficient?
......
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Mmmmmzxvnnmmrtuio6❤❤😢🎉