Fellow’s Conference Medical management of 院士会议医疗管理.pptVIP

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Weaning of ECMO Assess pulmonary status Compliance - Vt with set Pmax, PEEP Typical maximal vent setting Pmax 30 RR 35-40 FiO2 50% HFOV Pulmonary hypertension Cardiac echo pre-post ductal saturations Recovery and Decannulation Adequate gas exchange PIP 30 PEEP7 Rate 35-40 FiO250% Adequate cardiac output and BP Cardiac echo Weaning of ECMO Assess hemodynamics Ventricular funcion Organ perfusion BP Weaning of ECMO - VA ECMO flows