Quick tip for families in ICU: How to wean off VA ECMO with no IABP(Balloon pump)

https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-how-to-wean-off-va-ecmo-with-no-iabp-intra-aortic-balloon-pump/

Quick tip for families in intensive care: How to wean off VA ECMO with no IABP(Balloon pump)

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Hi, it’s Patrik Hutzel from intensivecarehotline.com with another quick tip for families in intensive care.

Today’s tip is about ECMO weaning in intensive care, more specifically VA ECMO weaning. So there’s a difference between VA and VV ECMO. VA ECMO is for heart failure. VV ECMO is for lung failure. This particular client we’re working with at the moment has heart failure and lung failure and is on VA ECMO at the moment.

The history is a heart attack with an LAD (left anterior descending artery) stent and other vessels blocked, but the client was too unstable after the heart attack to go for another stent or have cardiac surgery. So he ended up on ECMO and VA ECMO and inotropes/vasopressors very quickly whilst he was going into lung failure, as well as part of COVID.

How should weaning be done when someone is on VA ECMO? Well, the weaning should be done by reducing the revs per minute (RPM) and by reducing the cardiac output and therefore after the heart had a rest for a few days or for a couple of days, and then let the heart beat for itself, let the heart pump for itself and then gradually wean off ECMO. So that is what needs to happen in a nutshell.

Continuation...
https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-how-to-wean-off-va-ecmo-with-no-iabp-intra-aortic-balloon-pump/