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In this episode, episode 33, I welcome cardiac anesthesiologist Dr. Rosanne (Rosie) Sheinberg to the show to discuss ECMO. We go through a comprehensive overview of what ECMO is, how it is used, how it is managed, the complications that can be seen and how to manage them and how to wean it off.
CME: https://earnc.me/tzkE3J
Just wanted to say I love your podcasts!!! I am a senior resident from Canada and recently discovered these. They’re just what I’ve been looking for. I’ve long been a devoted listener of EMCrit, but always wished there could be an anesthesia-specific version. This comes pretty darn close! Extremely useful, and Dr. Wolpaw you explain things very well. Thank you for these. I have two requests for topics…first, the anesthesia machine. High-yield for the exams and hard to remember the details. #2, how to approach airways as an anesthesiologist/anesthesia resident called to assist with an intubation in the ICU or ED. Challenging team dynamics and not having access to your usual equipment are frequent issues I’ve faced. Thanks again!!!
Thanks for the comment. I’m glad you’re enjoying the show. Great ideas, I’ll definitely put them on the list.
All the best,
Jed
Good talk. I think it’s worth noting that the membrane lung in an ECMO circuit is only able to provide about 1/10 the oxygen delivery of healthy native lungs (300mL/min vs 3000mL/min). That’s about the resting VO2 of a human, so it’s just barely able to keep up if the native lungs are completely borked (a totally scientific term).
Thanks for pointing that out Sean. Definitely can be an issue in patients on ecmo.