CPB on ECMO pt.pptx

1. CPB for ECMO or IABP
inserted Patient
R4 林寬傑

2. CPB vs ECMO

3. CPB for ECMO patient
• Moving and ECMO patient
– Decannulation
– Bleeding
– Flows
– Emboli

4. CPB for ECMO patient
• Technical problems in OR
– Cardiotomy and Vent Return
– Patient Temperature and management
– Air management

5. CPB for ECMO patient
• Use ECMO as CPB
– Prepare new reservoir
– Prime and de-air
– Discontinue ECMO and insert Reservoir
– Resume ECMO

6. • Shift ECMO to central CPB
– V-line, A-line clamp after CPB established
– New circuit if post op ECMO is needed
OR

7. • ECMO line as part of CPB line

11. IABP during CPB
• Pump or not?
• Not pump
-> Increase risk of ischemic abdomen

12. 1. Achieve pulsatile flow
2. Lowered aortic pressure in the distal portion of aorta and impaired tissue
perfusion of the kidneys.

13. Thanks for Listening !!