Author Question: ECMO is typically only considered in conditions when conventional support: 1. has not been ... (Read 34 times)

shofmannx20 · **on:** Jul 16, 2018

ECMO is typically only considered in conditions when conventional support: 1. has not been successful in delivering oxygen (O2). 2. is unable to effectively remove CO2. 3. cannot provide adequate cardiac function. 4. has been in use for more than 4 days.

a. 1 only
b. 1, 2, and 3 only
c. 1, 2, and 4 only
d. 1, 2, 3, and 4

Question 2

Which of the following are absolute contraindications for the use of ECMO? 1. Lethal congenital anomalies 2. Grade III or higher intracranial hemorrhage 3. Mechanical ventilation with 100 O2 for greater than 13 days 4. Gestational age less than 34 weeks

a. 1 and 2 only
b. 1, 2, and 3 only
c. 2 and 4 only
d. 1, 2, 3, and 4

dajones82 · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

ANS: B
ECMO is typically only considered in conditions when maximum conventional support has not been successful in delivering O2, removing CO2, or providing adequate cardiac function.

Answer to Question 2

ANS: A
Absolute contraindications include lethal congenital anomalies, severe irreversible brain damage, and Grade III or higher intracranial hemorrhage (ICH). Relative contraindications include birth weight less than 1.6 kg, gestational age less than 34 weeks, irreversible organ damage (unless a transplant candidate), mechanical ventilation with 100 O2 for greater than 13 days, and some coagulopathies.