PerfWeb 24 Concepts in ECMO Part 3 Extracorporeal Membrane Oxygenation ECMO Circuit Design, Staffing

Register for and watch for free @perfusioneducation.comTopics:ECMO Circuit Design and SafetyECMO The tools to deliverECMO Staffing7:00:Why oxygenator fails? (PNP fiber polypropylene fiber oxygenators)9:23:According to ELSO, they are about 9500 ECMOs performed annually worldwide, and there are about 360 ECMO centers worldwide.9:45:Where ECMO can be placed?12:38:General definition of ECMO– Venous blood drain by kinetic assistance through a pump and into an oxygenator– Blood volumes cannot be manipulated by ECMO circuit because is no venous reservoir13:55:ECMO circuit: Femoral vein, Centrifugal pump,Oxygenator, Femoral artery16:16:CCRT incorporated into ECMO circuit: (access line, CCRT, Polymixin BHP, return line)18:10:ELSO guidelines for training and consulting education of ECMO specialistsIntroduction: The term ECMO specialist is defined for the purpose of this guidelines as “the patient on ECMO under the direction and supervision of a licensed ECMO trained physician. The individual functioning as the ECMO Specialist should have a strong critical care background in neonatal, pediatric and / or adult critical care and have attained one of the following:Successful of approved school of nursing and achievement of a passing score on the state written exam given by the Board of Nursing for that stateSuccessful completion of an accredited school of respiratory therapy and have successfully completed the registry examination for advanced level practitioners and be recognized as Registered Respiratory Therapist (RRT) by the National Board of Respiratory Care (NBRC)Successful completion of an accredited school of perfusion and national certification through the American Board of Cardiovascular Perfusion (ABCP)Physicians trained in ECMO who have successfully completed institutional training requirements for the clinical specialistOther medical personnel such as biomedical engineers or technician who received specific ECMO training and have practiced as an ECMO specialist since the initiation of their programs, and who have completed equivalent training in ECMO management as the other specialist , have successfully documented necessary skills as an ECMO specialist by the medical doctor. This personnel can be approved institutionally as an ECMO specialist under “grandfather” principle. However ELSO does not encourage or support new training of individuals except as outlined in 1-4 above24:00:Choosing a pump for ECMO in USA26:42:Controlled and catastrophic events during ECMO controlled: oxygenator failing, clot forming, fiber degradation catastrophic: acute decannulation, O2 source disconnected, pump head or oxygenator thrombosis, line or access port disconnection, air embolus, pump head failure, clamping wired portion of cannula, breaking a connector or stopcock port, turning certain stopcocks the wrong way32:32:ECMO platform (ECMO Machine)40:00:Configuration of ECMO41:35:Pediatric ECMO circuit52:47:ECMO tools to deliver55:34:ECMO Basic components56:23:ECMO pumps and systems57:57:Abbot Thoratec Centrimag1:02:14:Alung Hemolung RAS1:05:16:Getinge Maquet Cardiohelp and Rotoflow RF -32 Pump1:11:30:Inspiration Medos Deltastream System / Xenios Novalung1:15:46:Livanova Sorin SCPC and TandemLife / TandemLung1:24:08:Medtronic Bio-console with CP40 Pump Head1:26:02:ECMO Tools Comparisons1:34:36:ECMO Stuffing model pros and cons

Register for and watch for free @perfusioneducation.com

Topics:

ECMO Circuit Design and Safety ECMO Circuit Design and Safety
ECMO The tools to deliver ECMO The tools to deliver
ECMO Staffing ECMO Staffing

7:00:Why oxygenator fails? (PNP fiber polypropylene fiber oxygenators)

7:00: Why oxygenator fails? (PNP fiber polypropylene fiber oxygenators)

9:23:According to ELSO, they are about 9500 ECMOs performed annually worldwide, and there are about 360 ECMO centers worldwide.

9:23: According to ELSO, they are about 9500 ECMOs performed annually worldwide, and there are about 360 ECMO centers worldwide.

9:45:Where ECMO can be placed?

9:45: Where ECMO can be placed?

12:38:General definition of ECMO– Venous blood drain by kinetic assistance through a pump and into an oxygenator– Blood volumes cannot be manipulated by ECMO circuit because is no venous reservoir

12:38: General definition of ECMO

– Venous blood drain by kinetic assistance through a pump and into an oxygenator

– Blood volumes cannot be manipulated by ECMO circuit because is no venous reservoir

13:55:ECMO circuit: Femoral vein, Centrifugal pump,Oxygenator, Femoral artery

13:55: ECMO circuit: Femoral vein, Centrifugal pump,

Oxygenator, Femoral artery

16:16:CCRT incorporated into ECMO circuit: (access line, CCRT, Polymixin BHP, return line)

16:16: CCRT incorporated into ECMO circuit: (access line, CCRT, Polymixin BHP, return line)

18:10:ELSO guidelines for training and consulting education of ECMO specialistsIntroduction: The term ECMO specialist is defined for the purpose of this guidelines as “the patient on ECMO under the direction and supervision of a licensed ECMO trained physician. The individual functioning as the ECMO Specialist should have a strong critical care background in neonatal, pediatric and / or adult critical care and have attained one of the following:

18:10: ELSO guidelines for training and consulting education of ECMO specialists

Introduction: The term ECMO specialist is defined for the purpose of this guidelines as “the patient on ECMO under the direction and supervision of a licensed ECMO trained physician. The individual functioning as the ECMO Specialist should have a strong critical care background in neonatal, pediatric and / or adult critical care and have attained one of the following:

Successful of approved school of nursing and achievement of a passing score on the state written exam given by the Board of Nursing for that state Successful of approved school of nursing and achievement of a passing score on the state written exam given by the Board of Nursing for that state
Successful completion of an accredited school of respiratory therapy and have successfully completed the registry examination for advanced level practitioners and be recognized as Registered Respiratory Therapist (RRT) by the National Board of Respiratory Care (NBRC) Successful completion of an accredited school of respiratory therapy and have successfully completed the registry examination for advanced level practitioners and be recognized as Registered Respiratory Therapist (RRT) by the National Board of Respiratory Care (NBRC)
Successful completion of an accredited school of perfusion and national certification through the American Board of Cardiovascular Perfusion (ABCP) Successful completion of an accredited school of perfusion and national certification through the American Board of Cardiovascular Perfusion (ABCP)
Physicians trained in ECMO who have successfully completed institutional training requirements for the clinical specialist Physicians trained in ECMO who have successfully completed institutional training requirements for the clinical specialist
Other medical personnel such as biomedical engineers or technician who received specific ECMO training and have practiced as an ECMO specialist since the initiation of their programs, and who have completed equivalent training in ECMO management as the other specialist , have successfully documented necessary skills as an ECMO specialist by the medical doctor. This personnel can be approved institutionally as an ECMO specialist under “grandfather” principle. However ELSO does not encourage or support new training of individuals except as outlined in 1-4 above Other medical personnel such as biomedical engineers or technician who received specific ECMO training and have practiced as an ECMO specialist since the initiation of their programs, and who have completed equivalent training in ECMO management as the other specialist , have successfully documented necessary skills as an ECMO specialist by the medical doctor. This personnel can be approved institutionally as an ECMO specialist under “grandfather” principle. However ELSO does not encourage or support new training of individuals except as outlined in 1-4 above

24:00:Choosing a pump for ECMO in USA

24:00: Choosing a pump for ECMO in USA

26:42:Controlled and catastrophic events during ECMO controlled: oxygenator failing, clot forming, fiber degradation catastrophic: acute decannulation, O2 source disconnected, pump head or oxygenator thrombosis, line or access port disconnection, air embolus, pump head failure, clamping wired portion of cannula, breaking a connector or stopcock port, turning certain stopcocks the wrong way

26:42: Controlled and catastrophic events during ECMO controlled: oxygenator failing, clot forming, fiber degradation catastrophic: acute decannulation, O2 source disconnected, pump head or oxygenator thrombosis, line or access port disconnection, air embolus, pump head failure, clamping wired portion of cannula, breaking a connector or stopcock port, turning certain stopcocks the wrong way

32:32:ECMO platform (ECMO Machine)

32:32: ECMO platform (ECMO Machine)

40:00:Configuration of ECMO

40:00: Configuration of ECMO

41:35:Pediatric ECMO circuit

41:35: Pediatric ECMO circuit

52:47:ECMO tools to deliver

52:47: ECMO tools to deliver

55:34:ECMO Basic components

55:34: ECMO Basic components

56:23:ECMO pumps and systems

56:23: ECMO pumps and systems

57:57:Abbot Thoratec Centrimag

57:57: Abbot Thoratec Centrimag

1:02:14:Alung Hemolung RAS

1:02:14: Alung Hemolung RAS

1:05:16:Getinge Maquet Cardiohelp and Rotoflow RF -32 Pump

1:05:16: Getinge Maquet Cardiohelp and Rotoflow RF -32 Pump

1:11:30:Inspiration Medos Deltastream System / Xenios Novalung

1:11:30: Inspiration Medos Deltastream System / Xenios Novalung

1:15:46:Livanova Sorin SCPC and TandemLife / TandemLung

1:15:46: Livanova Sorin SCPC and TandemLife / TandemLung

1:24:08:Medtronic Bio-console with CP40 Pump Head

1:24:08: Medtronic Bio-console with CP40 Pump Head

1:26:02:ECMO Tools Comparisons

1:26:02: ECMO Tools Comparisons

1:34:36:ECMO Stuffing model pros and cons

1:34:36: ECMO Stuffing model pros and cons

2 Comments

Mohamed Ayadon December 11, 2019 at 6:04 pmThat’s really goodReplySkrydalewicz Maciejon May 8, 2021 at 12:29 pmThanks Mohamed!Reply Mohamed Ayad on December 11, 2019 at 6:04 pm

That’s really good

That’s really good Reply

Skrydalewicz Maciejon May 8, 2021 at 12:29 pmThanks Mohamed!Reply Skrydalewicz Maciej on May 8, 2021 at 12:29 pm

Thanks Mohamed!

Thanks Mohamed! Reply