The Cardiac Recovery Room: ECMO and ERAS—Awake, Extubate, Ambulate

From CTSNet Podcasts · 20:53

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In this episode of The Cardiac Recovery Room, moderator Subhasis Chatterjee, a cardiothoracic surgeon at Baylor College of Medicine, Houston Texas, USA, spoke with J. W. Awori Hayanga, Professor of Surgery at West Virginia University, Morgantown, West Virginia, USA, and Nicholas Teman, an Associate Professor of Surgery from the University of Colorado Anschutz, Boulder, Colorado, USA, about extracorporeal membrane oxygenation (ECMO). Chapters 00:00 Intro 01:18 ECMO Broad Picture 04:28 Deciding ECMO 07:32 Deciding Cannulation Configuration 10:13 Sedation De-Escalation 11:41 Patient Mobilization 15:34 Other ERAS Steps 18:00 VA ECMO 19:44 Closing Remarks They explore the evolution of ECMO and its application for bridge-to-transplant and acute respiratory distress syndrome patients. The discussion examines criteria for ECMO candidacy and predicting which patients may need ECMO, cannulation, and body mass index (BMI). Furthermore, they detail strategies for sedation de-escalation, safe patient mobilization protocols, and best practices for center implementing ECMO mobilization. The conversation also addresses veno-arterial extracorporeal membrane oxygenation (VA-ECMO) and preserving mobilization for VA-ECMO patients. The Cardiac Recovery Room is the place to hear the conversations colleagues are having after the meetings. Each month, a new episode featuring a leadership panel from the ERAS Cardiac Society is released. Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

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