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CV-EMCrit Wee - MCS Minute: ECMO and the DO2/VO2 ratio

EMCrit FOAM Feed

Scott D. Weingart, MD FCCM

Medicine, Health & Fitness, Science

4.82K Ratings

🗓️ 31 January 2024

⏱️ 32 minutes

🧾️ Download transcript

Summary

Transcript

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0:00.0

Hey folks Scott Weingard here and this is an M-Krit we. This is one of the iterations of

0:06.0

cardiovascular M-Krit which of course means we're being joined by the brilliant Trina Augustine, editor of all things cardiovascular,

0:14.8

Amkrit. Today marks the start of a new occasional series, the MCS Minute, the Mechanical

0:21.8

Circulatory Support Minute.

0:23.7

Trina is obsessed with all things, mechanical circulatory support.

0:27.1

If in the next 10 years, she is not the foremost authority on all things

0:31.1

mechanical circulatory support support I will be incredibly

0:34.2

surprised this is an obsession for her now you might be saying up I'm out

0:39.8

done I don't have backmo at my shop I don't deal with MCS in any regard so I'm not going to listen to this

0:45.8

Don't do that on this one at least I will warn you on future iterations if they are really only specific to ECMO and MCS type stuff because the

0:56.8

physiology we're going to discuss is directly applicable to all of your non-MCS

1:02.1

patients.

1:02.6

You must listen to this, you must understand this.

1:05.0

And we're gonna discuss this as,

1:07.5

using Ekmo as the lens, but honestly,

1:11.0

this is exactly what you need to understand on any ARDS patient who you want to discover.

1:15.6

Ooh, can I tolerate a lower oxygen saturation?

1:18.4

Like if they're 86, is that going to be a problem?

1:21.2

Is it going to be okay? You need to understand all this in a patient

1:24.4

with a severe shock state. Are they managing despite the low blood pressure or not?

1:31.2

Decreased cardiac output, is that okay?

1:33.6

This, the essence of what we're talking about today,

...

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