Hybrid ECMO Strategies - VVV vs VVA vs VAV

[@ICUAdvantage]

Thank you guys so much for watching! Please leave a like if you enjoyed the video. I truly do appreciate it! Also I love hearing your comments so feel free to tell me what you think of the video. Also, I have a Patreon now! 😍 If you are looking for additional content 💻and more information 📝to go along with these videos, then please consider showing support over there! 👍🏼Don't forget to check me out and give us a like on Facebook & Instagram as well! 🎥👁 Don't forget to check out these other great series of lessons that I have available! 🤷‍♂️🤓 OR these individual lessons!

[@CandCAllison]

My husband suffered a sudden mitral valve rupture and needed ECMO. He had to be placed on emergency ECMO (VA) to stabilize him as soon as he came in on the life flight. He then had open heart surgery to replace the valve, but his lungs were still full of blood. They put him on VAV for a few days after surgery. Then switched him to VV for the remaining days until he was able to get off of ECMO (21 days total, mostly VV). Thank you for these videos. They are simple enough that even I can understand them even though I am not in the medical field. It helps me understand what care he received. He is one year out now and fully recovered!

[@ICUAdvantage]

Wow, amazing to hear he is fully recovered! So sorry that he had this happen and went through all of this, but so glad this amazing therapy was available to him when he needed it. Thank you for sharing his story. We don't always get to hear the positive end result!

[@CandCAllison]

@@ICUAdvantageWe are so thankful for ECMO. And now that my husband is better, I've been curious to know more about ECMO. You do such a good job of explaining very complicated medical issues so that even non-medical professionals can follow along. Thank you so much for the information. Here is the story of my husband's recovery if you'd like to read it. integrisok.com/resources/news/2021/february/a-father-of-three-suffers-complete-mitral-valve-failure-and-lives-to-tell-about-it?fbclid=IwAR06W0soWCiLP2OqnmECg9SLxGtZESnMEYxGmPPW7URlKFidpZFEQZsSDVM

[@CandCAllison]

I just stumbled onto your video again as I was looking up the types of ECMO to explain it to a friend who asked. So my husband needed VA, then VAV after his open heart surgery to replace his mitral valve, then went to just VV once his heart was doing well post surgery but his lungs were still so full of fluid from his ruptured valve. I just picked up on the one little tidbit you mentioned that only about 2% of ECMO patients need these complex configurations. Very interesting. But I’m not surprised given how complicated his case was. Again, thank you for these straightforward videos. I don’t understand all of what you’re saying by I think I get most of it. Very well organized and presented! We just celebrated 4 bonus years of LIFE (and counting) post ECMO with my husband. So grateful! ❤

[@larobey7961]

I've learned so much over the past few weeks watching these videos. Thank you.

[@ICUAdvantage]

So awesome to hear! Glad these videos were helpful for you!

[@steph_a_noodle]

Another way to more easily understand hybrid ECMO is to use and think of the hyphen as the oxygenator. Anything before the hyphen is drainage, anything after is return. (Ex. VV-V = 2 venous drainage cannulae➡️oxygenator➡️1 venous return... V-AV= one venous drainage➡️oxygenator➡️return to artery and vein.)

[@ICUAdvantage]

Yes this is great! Thank you for sharing this.

[@tckexpat]

So VVA and V-VA would be different? VVA would have 2 drains and one return and V-VA would have one drain and 2 returns?

[@etlay5684]

Currently we have 5 ECMO patients due to COVID and I am refreshing my knowledge with your great videos. Thank you so much and greetings from an ICU nurse in Australia

[@greatworld300]

I watched your ecmo video 3 series and 3 times at each . Thank you very much !

[@ICUAdvantage]

Wow! Glad to hear you liked it. I hope you were able to get some good info out. 😊

[@jinuseanify]

Your videos on ECMO is bloody amazing! I can't wait to learn other topics. Thank you!

[@ICUAdvantage]

Haha yes!! Thank you so much! Really glad to hear you loved the video. I hope you enjoy all the rest. There's quite a few out there now :)

[@dominikbozoky2509]

I absolutely love your videos! greetings from germany (anesthesia nursing)

[@ICUAdvantage]

How cool! Hello in Germany!! Always so cool to see so many different people in so many parts of the world finding these videos helpful.

[@jorgen497]

Eddie, I'm loving the channel ! Elsewhere, I suggested a video (or series) on CPB; I just thought pediatric ECMO would be another good subject since they're not often distal-cannulated. Wonderful work !

[@АрестАрест-ш8й]

Thank you for fascinating education!!!

[@jejehuh9646]

I love this video! Awesome!! So helpful to me! Thank you!

[@ICUAdvantage]

You’re very welcome!

[@stankiewiczad]

Great video. Thank you !

[@ICUAdvantage]

Glad you liked it!

[@ashasyam6019]

Just saw VAV circuit , watched your vedioa interesting

[@thairalmalad]

Thanks for your great way of explanation

[@ICUAdvantage]

So nice of you

[@matildemilani4467]

Your videos are amazing, i really appreciated them! I'd love if you could make one about LVADs too.

[@ICUAdvantage]

Thank you and glad you like them! I do have LVADs on the todo list.

[@TheGretchenG]

This is Awesome! do you have any tips for an "awake " ecmo program with tips on how to safely mobilize these patients? Moving these hybrid patients is not in my comfort level but is strongly encouraged where I work. I am not always sure that the "awake " part is best. Please continue with your videos . Your teaching is really helping so many of us at the bedside!

[@neeteshagrawal37]

Outstanding information u provided sir please make complications that can happen during all types of ecmo

[@ICUAdvantage]

Thank you! I probably will do more on ECMO in the future. Thank you for the suggestion.

[@rma3899]

Please give them likes for the incredible job

[@ICUAdvantage]

Thank you! 😊

[@rma3899]

@@ICUAdvantage

[@PediaTricks007]

Thank you

[@samirsharma3267]

Very informative video thank you so much. I just subscribed and turn on notification.

[@ICUAdvantage]

Awesome Samir! Glad to have you aboard. Glad to hear you liked the lesson.

[@mirandaalexis]

this ER nurse loves learning about critical care

[@ICUAdvantage]

haha awesome! welcome aboard! critical care info has application in so many areas and glad to see people all over learning.

[@kennethspence2831]

My brother is currently in ICU fighting the most severe case of COVID that his hospital has ever seen, maybe in the country. He is on vent via trac, double the dosage of two blood thinners due to a factor I high fibrinogen (natural clotting mechanism), ECMO with double oxygenators (on his 7th and 8th filters), has sepsis, has had a brain bleed, complete shutdown of lungs, and kidneys and is on dialysis, and liver started shutting down and producing ammonia. He is only 41, is VERY strong, runs 3 businesses, and will never give up so long as he is given a chance. I would like to talk to you about his condition if you are interested.

[@bishnya21]

How’s he doing now?

[@kennethspence2831]

@@bishnya21 Passed away on 4/6/21.

[@itrop9952]

@@kennethspence2831 Sorry to hear of your loss! Wish I could see all these devastation. My father died on 18th feb 2022. I am so broken now!

[@kennethspence2831]

@@itrop9952 sorry for your loss as well.