Hello and welcome back to ACRAC. I'm Jed Wolpa and we have a fantastic episode for you today.

We are back with the dynamic trio. There's got to be a better word for that, but we have them.

Dr. Mike Asando and Dr. Joseph Cody and Thomas Grawl go by Joe and Tommy from the Ohio State

University. Frequent listeners will know that they did a fantastic podcast on the use of non-transvenous

pacemakers and now we're back to do a really thorough update on ECMO. So we did on ACRAC we did a

prior podcast on ECMO with Dr. Scheinberg which was great, but that believe it or not was already

years ago and it's such a dynamic field with a lot of new things happening and so this is going

to be a great great update for those interested in learning more about what's going on in ECMO.

So thank you guys for coming back on the show. Thanks for having us. We're really delighted to be here.

Awesome. All right. So let's jump right in and let's talk about some of the kind of background

of ECMO what it's used for and what the different options are and Mike if you want to start us off with

that I think that'd be great. Perfect. So ECMO which is ESCRACOPORO Membrane Oxygenation has been

around since the 70s and it's basically used in two platforms it's for either supporting a failed

you know lung or for supporting circulation in the sudden of you know heart failure and heart

failure can be heterogeneous can be due to postcardiotomy heartless function can be due to an acute

my cardio infarction or also patients who have cardiopulmonary they who undergo arrest

we're using ECMO for cardiopulmonary resuscitation. So the two platforms that we'll talk about

VinoVenus ECMO which is basically ECMO support and oxygenation mostly for lung failure

and they also had a strategies where VinoVino ECMO where you have a failed lung but the right

ventricle may not also be working well and there's another kind of relation strategy where

you know the protectual canola which we'll get into later on that provides a little bit of support

for the right ventricle and also provides the oxygenation for the failed lung so that's all that's

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