Learning Objectives
1
Describe the parameters for oxygen delivery.
2
Compare the effect of manipulation of various components of oxygen delivery.
3
Recognize shock and describe the limitations of clinical and laboratory findings.
4
Understand the limits of critical care interventions to optimize oxygen delivery and recognize the toxicity of these interventions.
5
Name the specific components and their function.
6
Identify ways to monitor the ECMO circuit: pressures, alarms, sensors.
7
Apply a systematic approach to selecting patients for ECMO.
8
Compare the various configurations used for ECMO cannulation, and identify the reasons for different strategies.
9
Describe characteristics which limit blood flow to the ECMO circuit.
10
Appraise the limits of the ECMO membrane.
11
Assess the reasons for hypoxia on VV ECMO and apply a method for diagnosing and treating.
12
Identify patient characteristics that are ideal for VA ECMO.
13
Understand the physiology of retrograde flow and its consequences related to VA ECMO.
14
Apply physiologic concepts to develop an approach toward titration of flow.
15
Develop a method for managing the ventilator for patients on ECMO that spares the toxicity of conventional therapy.
16
Describe pharmacokinetic principles common to patients on ECMO and apply to how drugs are administered.
17
Understand the principles related to coagulation and apply these to how anticoagulation is employed in a patient on ECMO.
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