ECMO Workshop: When and How to Use a Powerful Tool-Venoarterial ECMO Indications, Dr. Amy Hackmann

Venoarterial ECMO Indications, Dr. Amy Hackmann

Video Transcription

Video Summary

Dr. Amy Hackman discusses VA ECMO indications, highlighting their vague nature per ELSO guidelines and emphasizing common scenarios such as post-MI cardiogenic shock, massive PE, eCPR, hypothermia, and drug overdoses. She covers candidacy criteria for eCPR, noting factors like age, witnessed arrest, rhythm type, and contraindications including bleeding risk and advanced organ failure. A key focus is early recognition and intervention to improve outcomes, with the use of vasopressor-inotrope scores in the OR to prompt timely mechanical support consults. She also addresses challenges in team coordination and reducing stigma around ECMO use post-surgery.

Keywords

VA ECMO indications

eCPR candidacy criteria

post-MI cardiogenic shock

vasopressor-inotrope scores

ECMO team coordination