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EXTRA CORPOREAL OXYGENATION (ECMO) LEARNING …

2016 Paula Nekic, CNE Liverpool ICU SWSLHD SSWAHS February 2016 EXTRA CORPOREAL OXYGENATION (ECMO) LEARNING PACKAGE Liverpool Hospital Intensive Care: LEARNING Packages Intensive Care Unit ECMO LEARNING Package LH_ICU2016_Learning_Package_ECMO_Learnin g_Package 2 | P a g e CONTENTS Anatomy 3 ECMO Definition 5 Indications / Contraindications 6 ECMO Equipment 7 Cannulation 12 Types of ECMO 14 CVVHDF with ECMO 18 Management 19 Nursing management 22 Complications / Troubleshooting 26 Weaning from ECMO 33 LEARNING Activities 34 Reference List 35 Liverpool Hospital Intensive Care: LEARNING Packages Intensive Care Unit ECMO LEARNING Package LH_ICU2016_Learning_Package_ECMO_Learnin g_Package 3 | P a g e ANATOMY5,8 Superior vena cava Carries deoxygenated blood from the veins from the upper body then into right atrium Inferior vena cava Carries deoxygenated blood from the lower body to right atrium Aorta Carries oxygenated blood from the Left ventricle to the organs Pulmonary artery Carries deoxygenated blood from the Right ventricle to the lungs Liverpool Hospital Intensive Care: LEARNING Packages Intensive Care Unit ECMO Lear

The post membrane pressure is measured at the connector on the oxygenator’s arterial outlet . These pressures are displayed on a separate monitor with the ECMO circuit . Figure 7: Pressure Monitoring . The difference between the pre and post membrane pressure gives you the trans- membrane pressure gradient.

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