What is ECMO? The basics explained.

[@ICUAdvantage]

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[@eddyballester8990]

has methylene blue been administered via ECMO for tx of Covid?

[@agneskoczur5874]

6 years ago I’ve had pneumonia and sepsis. Ended up on ECMO with multi organ failure. I can’t believe how lucky I am to be alive

[@ICUAdvantage]

Wow so glad this was available for you and that you recovered from it! Thank you for sharing!

[@chelee9261]

You are blessed. Thank God for your recovery.

[@bezagebremedhine5102]

Glory to God for preserving your beautiful soul. Happy for you dear.

[@MrGroganmeister]

I hope you fully recover

[@UDONEDONEIT]

This machine just saved my brothers life. My brothers organs were shutting down from the delta virus. There was no chance he could recover the doctors said. He went through two cprs, His kidneys were failing, heart was failing and Lungs. A miracle happened and my brothers lungs started to heal. Thank you ecmo for saving my brother. I owe you my life and my brothers life.

[@ICUAdvantage]

So glad to hear your brother has made a recovery and thanks for sharing his story!

[@milyol89]

ECMO survivor here🙋🏽‍♀️ I was intubated and on ECMO because of Covid-19 on April 2020. So thankful I'm alive❤

[@ICUAdvantage]

WOW! So glad to hear another wonderful story of survival. I'm so sorry that you had to go through all that but so happy to hear that this wonderful therapy was available for you when you needed it!

[@AboSahlOmar]

Really happy for you! You have another chance in life so please don't waste it

[@3xoticG4m3r]

"its just a commin flu" Glad you made it! Wish you the best

[@Tanman96]

What did you experience during the process?

[@milyol89]

@@Tanman96 I did not experience pain but it is uncomfortable that you can't really move because the tubes where by my bikini area (one on each side). The removal was a little painful. I didn't wake up until 10 days after being intubated so I'm just sharing what I experienced after I woke up. My breathing wasn't good when I woke up but it progressively got better. I'm so thankful to be alive

[@kimberlyk1502]

Thank you for the great explanation! My daughter was placed on VV ECMO as a newborn and this machine saved her life. She's a happy and healthy 3.5yo now :)

[@ICUAdvantage]

Wow! So amazing to hear such a great story. So happy this was available for your daughter and that she is doing so great today!

[@jesmonal]

I am happy for your daughter. Can you please tell me what was the underlying condition your daughter had? And how long did the doctors wait before performing VV ECMO on her?

[@africanresiliencetv7473]

I was intubated and on ECMO because of Covid-19 on November 2019. So thankful I'm alive

[@ICUAdvantage]

Wow, so glad to hear you made it out of that and thanks for stopping by to leave a comment.

[@thedeathofanime2522]

One year ago today, my husband (age 63)was on ECMO for severe Cardiogenic shock-post MI, He had right vent. failure - which led to some Left vent. failure - had a right pump which failed - then a left pump failure - with stent placement X 3 with no improvement. Cardiac arrest X 3 - Surgery 4 times within 24 hour time frame - was placed on ECMO in Huntington, WV - transported via helicopter to Ruby Memorial WVU Hospital in Morgantown, WV. Excellent group of ECMO technicians and medical staff - placed on VA ECMO - then to RVAD - and the rest is golden. Spent 1 month in hospital, then to in patient rehab, and finally cardiac rehab. No previous cardiac problems and is still alive and doing very, very well. Keep on teaching the wonders of this life-saving technology. It has taken me this long to really research what he survived. Thanks so much for the overview. TDL

[@ICUAdvantage]

Wow thank you for sharing Tina! Sounds like a heck of a journey you guys have been on, but I'm so glad to hear things have worked out and that ECMO was available to save your husband!

[@katiehaefs1837]

This is the first video I've watched from ICU Advantage. So well done. Thank you for the time and effort you put into it. The clarity of teaching (down to the color-coding, organization and sectioning of the video) was refreshing.

[@ICUAdvantage]

Thank you so much Katie. I really appreciate the kind words. I'm just happy knowing that so many people find these videos helpful. Glad to do what part I can. :)

[@andresni981]

Sir quite honestly your explanation was so good, that I will have it bookmarked and share it to colleagues everywhere! Truly awesome!

[@ICUAdvantage]

This is awesome Andres. Thank you for the kind words and for sharing it around!

[@mjacintho]

im entering into cardiac and vascular surgery and this video was super helpful prior starting my hospitals ecmo classes! thank you

[@ICUAdvantage]

Congrats on the new position and ECMO classes! Glad this video was helpful for you! Wishing you the best.

[@biancan8842]

Thank you Eddie for doing this! I have been waiting for this video since I started watching your channel about a year ago ❤️

[@ICUAdvantage]

Awesome! Hope it was worth the wait Bianca! 😉

[@leilanigirl777]

My husband needs to have this after his heart and liver transplant and I wanted to learn more about what it does so thank you for this video.

[@slimv2010]

This was the most informative yet. I'm currently taking anatomy & physiology for nursing school. We are on chapter 22 about the lungs. This video really helped put everything together as far as the importance of knowing about the heart and the lungs anatomy and physiology components . Just hearing you talk about the valves etc gave me confidence to one day explain the flow of the heart to a patient and why they may need ECMO when I become a nurse. Thank you. 😌

[@rfpeace]

Nice work sir! Very well explained, I'm a non-CV and non ECMO PICU nurse that's always played with the thought of getting on the team but never pulled the trigger with our educator. Cheers!

[@ICUAdvantage]

Thank you so much. What's keeping you from pulling the trigger?

[@rfpeace]

@@ICUAdvantage that was back when I was a staffer, I've been a full-time PICU traveler since 2008 so if I were to get back into proper training and such I'd loose my mercenary status! Maybe if I found a perm. home somewhere other than CA.?

[@joshcousino7931]

Thanks for this video! As a critical care paramedic I am always looking for ways to expand my education to at least be familiar with the treatments my patients undergo in the hospital.

[@ICUAdvantage]

Awesome! Thanks for all that you do out there and happy to hear you found the lesson useful!

[@karenkaren3189]

I have been aware of ECMO for decades. It is an amazing technology but technically difficult, expensive and not widely available ( in the sense that not every hospital has it, or has multiple machines, or techs that can run the machine). Glad we have it, but better to avoid Covid infection. Retired RN

[@ICUAdvantage]

Agreed! Best to avoid! Thanks for taking the time to leave a comment.

[@BjarneReimers]

Richtig gutes Video, perfekt und verständlich erklärt! Bin dir sehr dankbar, vielen Dank für deine Mühen!

[@shelikays5120]

I am a dialysis nurse it was easy for me to understand this

[@johngeorge7656]

extraordinarily perfect presentation ; so lively and informative

[@hema11901]

اللهم علمنا ما ينفعنا وانفعنا بما علمتنا وذدنا علما يا كريم اللهم

[@valsimonds1186]

Very well done explaination. I have been a critical care nurse.

[@ICUAdvantage]

Thank you Val! Glad you enjoyed it.

[@kshitijamahajan2678]

Super awesome , kudos the teaching ;impressive way to imprint our knowledge . 🎉 Gratitude 🙌🌟

[@CopperPriestess]

That was great! Thank you so much! We're getting ready to start ECMO on my unit and this was very informative.

[@ICUAdvantage]

Awesome! How exciting, and I'm sure nerve wracking too lol. Happy this video was able to help in some way and best of luck as you start your new program!

[@mohanp8264]

excellent.As a doctor I have learnt a lot.

[@ICUAdvantage]

Awesome to hear this Mohan!

[@Nandomaestro]

Amazing video! Thank you very much for this lesson 😍

[@ICUAdvantage]

Glad you liked it! Happy to help.

[@kritibhattacharya6711]

Sir I am from India...... I follow you channel 🥰 Best video for ECMO

[@ICUAdvantage]

Awesome! Glad to have you from the other side of the world! And thank you! So glad you liked it!

[@madhusudanpatra3918]

Hi Kriti you can follow our channel for hindi based health issues videos tq

[@entparekh]

Very good presentation.Learnt a lot.Better you have shown the actual mechine in details.

[@ICUAdvantage]

Glad you liked it. My channel is more focused on the concepts of these things in critical care versus utilizing the actual equipment. Much varies from place to place, not to mention I don't just have free access to a machine and circuit to be able to use at my own disposal ;)

[@12fishcake]

Thank you for this video, it's been a big help and very easy to follow for someone like myself with very little medical knowledge. We currently have a family member waiting to be transferred to a hospital that can provide ECMO and I am their primary contact. Although the doctors have explained briefly, I was still somewhat unclear and this has been a huge help in allowing me to understand exactly what ECMO is and will really help me to explain to other friends and family who don't quite understand how it all works.

[@ICUAdvantage]

So happy to have been able to help in your understanding. Wishing you and your family member all the best and hope for a speedy recovery!

[@islamalobeidi313]

This is some good stuff right there. I love it.

[@ICUAdvantage]

Right on! Happy to hear this

[@doristhecoder765]

Life given with AHA moment around13:55! Rock on EDDIE!

[@ICUAdvantage]

Sweet! 😊

[@blessyponnachen9528]

Is ECMO used during any surgery ? If yes, can you specify the names of the surgeries? Or patients underwent surgery would be prescribed to be connected with a ECMO?

[@karismalucia1627]

This is just Amazing. Thanks all the way from Mexico.

[@ICUAdvantage]

Hello in Mexico Karisma! Glad you liked the video. Gracias 😊

[@chandanakarunarathne6122]

Nice job! You teach really well!

[@Rehanabmw]

Great explanation Brother. Really appreciated your efforts.

[@ICUAdvantage]

Awesome. glad to help!

[@abdulazizahmed5600]

Thank you Sır

[@ICUAdvantage]

You're welcome!

[@MrShpoulsen]

Would it be possible to miniturize this enough to fit in a backpack (maybe using atmospheric air for gas exchange) us for extending the life of patients with uncureable terminal lung ilness such as Idiopathic Pulmonary Fibrosis.

[@vamsiuppalapati5000]

dear sir...you made it simple ...thanks a lot

[@ICUAdvantage]

You are most welcome!

[@sinclair657]

Thank you

[@ICUAdvantage]

Youre welcome!

[@RMSVA]

Fantastic resource! Thank you!

[@ICUAdvantage]

Very welcome!

[@Goldsho7651]

Thank you! ❤

[@ICUAdvantage]

You're welcome ❤️

[@andrewalmond01]

Great job and extremely informative.

[@ICUAdvantage]

Thank you and so glad to hear it!

[@JC-be5cc]

Wow awesome video!! Easy to understand thank you!!!!

[@ICUAdvantage]

Awesome! Glad you liked it and thanks for taking the time to leave a comment!

[@gangathusharik.g.d.s3946]

Amazing Video!!! Thank you so much!

[@ICUAdvantage]

Glad it helped!

[@bettysmith7045]

Great video, thank you! So if the patient is on ECMO and they go into vfib or pulseless vtach that doesn't convert with defibrillation after the first shock, do you start CPR or would you continue to let the ECMO pump circulate the blood alone?

[@RC-ed7pf]

It depends if they are VV or VA ECMO. VV only supports the lungs so in this case you would perform CPR. If they are VA, the pump is providing both pulmonary and cardiac support so CPR wouldn't be required.

[@ICUAdvantage]

R C beat me to it and is correct. To add just a little... VV ECMO is dependent on a functioning heart to pump the oxygenated blood around the body. So if they loose a pulse, you would initiate CPR but keep the ECMO going. Shocks, compressions, the whole thing. VA ECMO still functions with no cardiac activity and is providing the perfusion and oxygenated blood for the body. You more than likely won't identify a pulseless VTACH since we will have a MAP going from the ECMO. That said, any lethal arrhythmia we would attempt to shock them out of it. As long as we are maintaining good flow and MAP from the ECMO, we would not do compressions. They can persist for a long period of time in a lethal arrhythmia, but at some point it will either become asystole or it would become futile if they didn't go back to a rhythm that can support life. If we lost flow or pressure from VA ECMO, then we would clamp out (stopping ECMO) and run a full code as normal. Doesn't happen often, but when it does its a bad day. Hope that helps! 😊

[@JC-be5cc]

Thanks!

[@ICUAdvantage]

Thank you so much JC!

[@azulalvarez6941]

Esperanza means Hope

[@nathnaelfeleke4425]

Thank you for all your videos. I had my critical care assessment as a new graduate nurse and I found these incredibly helpful. Quick question, do you plan on doing any videos on devices like Balloon Pump, Ventricular Assist Devices (Heart Mate II, HeartMate 3, HearWare) or CentriMag by any chance? Just curious. Thank you again!

[@ICUAdvantage]

Thanks for taking the time to leave me a comment Nathnael! So glad these have been helpful to you. And yes I do have much of that on my todo list for the future. All except the CentriMag, which I don't have any personal experience with, but may do something on it in the future.

[@sapnaajgaonkar4980]

Very informative

[@ICUAdvantage]

Glad you think so!

[@amazingkat8898]

You are the best. Thank you so much..

[@ICUAdvantage]

You are too kind! Thank you!

[@colbystuckman7020]

this video is amazing my dude

[@ICUAdvantage]

Thank you Colby! I appreciate you and glad that you enjoyed it!

[@DanielleMoren]

Could prolonged ecmo use lead to lung muscle atrophy?

[@ICUAdvantage]

ECMO only provides the gas exchange to the blood.

[@meenakaotanthong9946]

Good content. thanks

[@ICUAdvantage]

Thank you!

[@christianwong91]

Why is morbid obesity a contraindication to ECMO?

[@brucewinningham4959]

Is ECMO basically a Heart-Lung Machine?

[@ICUAdvantage]

I don't know the bypass well enough to know all the differences, but at its most basic level, yes very similar in function and purpose.

[@errahman363]

Dear Dr, thank you so much and very useful class. Better avoid English write ups of your speaking appearing on the screen . God bless you.

[@ICUAdvantage]

Glad you liked the video! Not sure what you mean for the last part though?

[@jrrm7869]

Then why don't they start with EcMO instead of waiting till it's almost to late?

[@ICUAdvantage]

Def not something to start with (usually) as it is very invasive and has a lot of risks. That said, the evaluation for patients to go on is often done late, and more a result of the lack of familiarity with it. In large ECMO centers the evaluation often happens much earlier, but they are also very familiar with it. That said, its also resource heavy and not always available even if someone truly needs it.

[@srilankavisit2980]

After actor vivek's past away news video ?

[@ICUAdvantage]

I had to google this. This video was made almost a year ago.

[@pinkowbs]

If you're here because someone you know is on it due to COVID-19. I hope and pray that they recover soon.

[@ICUAdvantage]

Praying as well! 😔

[@caseymiller119]

Yeah, I’m pretty damn sure these machines are what’s causing the complications.

[@5MrPine]

My friend just got placed on it a couple of hours ago. I’m praying for his speedy recovery.

[@pinkowbs]

@@5MrPine I'm praying for your friend

[@eddierodriguez4490]

My wife just got placed on this ECMO just yesterday. Praying that this works as it worked for many.

[@sunnysharma2476]

This is so great, I'm a doctor and I haven't found a better explanation than this! I'm sending to all my co-residents.

[@ICUAdvantage]

Thank you so much! I really appreciate the kind words and I'm really glad you liked it!

[@kurtcurtis2730]

Agree- excellent

[@wansangoh4951]

Not everyone is as kind as you, ICU Advantage. 👍 I’m one of those who will not share for FREE/CHEAP.

[@annettesuterswiss]

Yes, so true. Finally I got to understand ECMO at least a little bit. I am fascinated by that technology, but it gives me kind of nightmares 🙈

[@simonpaterson9648]

@@annettesuterswiss I understood it close up a few weeks ago.

[@jessicajimenez7026]

My 19 year cousin got COVID and was intubated. This machine was her last hope- and it saved her life. I just came here to understand it. Thank you so much.

[@ICUAdvantage]

Thank you for sharing Jessica! I'm so glad this therapy was available for her. Hoping for a quick recovery for her!

[@eddierodriguez4490]

Great news that she survived. My wife is currently on ECMO and its only been 1 day. How long was your cousin on this ECMO Machine?

[@houseplanttourism2757]

@@eddierodriguez4490 she actually was just taken off ECMO this week. She has a lung transplant and is doing really really well. She was on the machine for 2 months

[@eddierodriguez4490]

@@houseplanttourism2757 I love reading these success stories. Happy to hear she is well. God Bless.

[@houseplanttourism2757]

@@eddierodriguez4490 sending good thoughts your way!

[@sweetyrs9107]

ECMO survivor here 🙋‍♀️🙋‍♀️. I infected by corona during my 27 weeks pregnancy and I was in ECMO 1 months… my baby born at 28 weeks 780 gram. We’re thankful we’re alive

[@greatworld300]

I'm nurse in South Korea. I work at COVID ICU now. Last night me and my co-workers watched your video to understand ECMO. Thank you very much!

[@ICUAdvantage]

So glad to hear this. You are very welcome. Happy to hear the video was helpful for you.

[@iblue5guys863]

I’m a ECMO survivor it was very scary at first and I didn’t think I was gonna survive thought it was a medical failure but I’m home now and healthy and I am extremely grateful for this procedure

[@ICUAdvantage]

Wow, thank you so much for sharing Adil! So glad this was available for you and always great to hear the stories of survivors. Wishing you all the best!

[@jhaeronrhymebustamante373]

mahal po ba yan?

[@thedevilsadvocate5210]

It seems like all this experimental medicine shouldn't be used until it is better understood Going on a ventilator is damaging to your body.

[@liezelkate1007]

​@@jhaeronrhymebustamante373 yes mahal po. Estimate cost of Php 500-600k per day

[@cindyoung13]

My sister spent a few weeks on ECMO and survived. She was an adult that had lung damage from a fire. She entered the hospital June 17th, 2017, placed on ECMO on June 21st, 2017, and removed from ECMO on July 5th 2017.

[@ICUAdvantage]

Amazing! Always great to hear success stories of this amazing therapy! Inhalation injury is a great indication for ECMO when needed. Glad this was available for her. Thank you for sharing.

[@stasgh7376]

I was on ECMO for a week after going into cardiogenic shock after years of heart failure. Afterward I had an impella and then the lvad. Hospitalized for two months and inpatient rehab for 2 1/2 weeks. I still have some nerve damage and neuropathy but otherwise doing well and working towards a heart transplant after 2 years of therapies. Very good description!

[@ICUAdvantage]

WOW! Thank you for sharing and so glad to hear this was available for you when you needed it. Wishing you all the best on your recovery and hoping for a new heart for you soon! Take care.

[@MrGroganmeister]

That’s wonderful. I had the same. I was fit and healthy and a virus ruined my heart. I was on ecmo for a week in ICU until I GOT AN LVad. I spent a month in ICU and then went to a ward and waited three and a half months until I was fantastically lucky to get a transplant. I’m so grateful to all the doctors nurses and staff for saving my life. I’m now three years post transplant and baring complications, I am getting by fine.. I’m so glad you are doing good too. a week and then

[@bigaaron]

Good luck man!

[@MrGroganmeister]

@@bigaaron Thanks and good luck to everyone else in the same boat. I hope it turns out good for you too.

[@margodphd]

@@MrGroganmeister Hope You are doing well still ❤️

[@ricca7111]

My son is an ECMO baby. He is now 29 years old. 🙏🏻. Thank God for this procedure.

[@ICUAdvantage]

So amazing!! So glad this was available for your son!

[@antoinettevazquez1721]

How long was he on it? This machine is truely amazing and so grateful that your son is going great!

[@ricca7111]

@@antoinettevazquez1721 72 hours.

[@Senath_Weerasinghe]

You need to thank scientists for this procedure, not to the God.

[@ricca7111]

@@Senath_Weerasinghe I THANK GOD FOR THIS PROCEDURE. Please do not tell me who I need to thank. You have a good day.

[@jessican1399]

Thank you for this break down. I am a neuro ICU RN and because of COVID my facility is experiencing a high volume of VV ECMO pts and we don't have enough open heart RN'S to care for all the devices. So I have been asked to take a class for VV ECMO. This video was a helpful introduction to the concept of ECMO before I actually take the class. It has decreased my anxiety. I will be sharing this video with my fellow neuro nurses who as also taking the class. Thank you!

[@ICUAdvantage]

Oh wow Jessica! So glad this video helped in some way to get you ready for the class and thank you for sharing with others. I hope the class goes (or went 🤷🏻‍♂️) well and you'll have to update me!

[@Sub12Hz]

+1 for neuro ICU

[@jimjab3631]

Ask why hospitals are using the death protocol? Boot family out, give remdesivir, blast oxygen, bipap, precedex, vent, dnr. All other meds refused because they can be harmful? Even the WHO is against redesivir, why is it on the protocol?

[@samanthawilliams5281]

My baby girl had to be placed on ECMO just a few hours after being born, this saved her life.

[@ICUAdvantage]

Amazing to hear this! Sorry you and her had to go through this but so glad this was available to make a difference!

[@viewingeye3233]

My son is in the same position today. I’m so glad your daughter is doing great. How long was she on it?

[@samanthawilliams5281]

@@viewingeye3233 she was on Ecmo for 7days, We had to take her off, Because she was haemorrhaging from her brain. Since the ecmo machine uses blood thinners, Thank God she was able to get the rest and recover Enough to hold her own. Please be encouraged, And keep the faith, Sending love, and positive vibes your way.

[@viewingeye3233]

@@samanthawilliams5281 thank you. We are holding strong.

[@sw33tcaroline52]

@@viewingeye3233 how is your son?

[@cameronbrauns4856]

I watched as I am a former ICU nurse, now retired, and I wanted to understand this new technology. Wonderful video and you are a superb teacher. Thank you.

[@crystalrogers3420]

This thing saved my mom's life thank you so much ❤️

[@ICUAdvantage]

So happy to hear this was available for her! Thank you for sharing.

[@brandonkasyouhanan3986]

Can you share your moms age and her condition with covid? My mom was just put on this machine a few hours ago and I am looking for hope 🙏🏻

[@ritalicious29]

I’m a new ECMO nurse. It is an amazing machine, and it’s has saved many lives 🙂

[@卵-n6e]

Not a doctor, just a nerd who's interested in this sort of stuff :p

[@ICUAdvantage]

Haha welcome!

[@Marilynefc]

You should go into nursing if you find this interesting!

[@bombofbombe]

@@Marilynefc someone also has to invent it!

[@dylandalrymple]

I was on VA Ecmo for a month awaiting a heart transplant due to acute heart failure. Can't believe I'm still here today. Truly amazing

[@mol-charles3616]

What are some advice to ease the anxiety while on ECMO?

[@margodphd]

Glad You made it!

[@margodphd]

@@mol-charles3616 Look up resources regarding management of ICU psychosis.

[@melindabell8132]

My son was on ECMO 35 years ago, it was still experimental at that time. So thankful for it!

[@ICUAdvantage]

Wow, so glad it was available for him then! Thanks for sharing that!

[@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!

[@sweetlife1423]

Is ecmo fda approved now. Because in 1999 it was gonna be used on my son but by God's grace he didn't need it

[@robertclark7012]

Great job on explaining it's functions and some😃

[@lucindacurrell5244]

.... what a great way of explaining what Ecmo is ... back in 2016 I was on ecmo and never really understood what it did .... now I understand what was happening to me ... Thank You

[@ICUAdvantage]

@@treeceysfatcatenterstheroo5622 The quadrox uses these PMP gas exchange fibers. I think we are talking semantics here.

[@ICUAdvantage]

@@treeceysfatcatenterstheroo5622 Thanks. Yeah my purpose in this part was to explain the how behind the gas exchange. Many staff new to ECMO are coming from CRRT management and understand the concept of fiber use for flow and diffusion, though that is blood in the fiber for CRRT.

[@jeniferlim9140]

My husband is on Ecmo from today and his both lungs are failed, is he can survive ??? please let me know and pray for my husband life Thank you 🙏🏽🙏🏽🙏🏽🙏🏽

[@martinazanellato5104]

I will pray for your husband 🙏 my father did it and it's at home now. Ecmo saved his life 🙏🙏🙏

[@animalian01]

I was on ECMO in November/December 2020 after multiple heart failures,a stent, a bypass,a mitral valve replaced, and multiple organ failures. Without it, I wouldn't be here today

[@n0tofthisw0rld]

My husband went on ecmo last night. Covid. Please pray for him

[@ICUAdvantage]

My thoughts are with you, your husband and the team caring for him. 😢

[@Miklos82]

In really enjoyed seeing how ECMO has progressed over the past 30 years. I was a cardio-pulmonary tech @ WHMC from 1973-1990. Drs. Robert DeLemos and Don Null were some of the early neonatal pioneers in using ECMO. The typical patient was a premature newborn, usually weighing less than 2000 grams and delivered because they were in fetal distress. When that happened, the baby would release it's meconium plug (essentially inutero stool.) It often had the consistency of tar. The baby would inhale this while still in mom's tummy and require ECMO. Wilford Hall's ECMO device looked somewhat like a Rube Goldberg device, but it worked fantastically well. When I retired in 1990, WHMC had the only ECMO that a neonatal patient could be placed on and flown across the country. The reason- at that time the standard aero-vac plane was some version of a Lear Jet. Not a lot of room inside for all the personnel needed. Thankfully, Uncle Sam had a large fleet of C9 air evac aircraft that could carry ECMO device, patient, 3 RN's and 2 technicians and a respiratory therapist.

[@ICUAdvantage]

How cool! Wow, thank you for sharing. Its always amazing to see how things progress over time and to hear about how things were before. Now-a-days, it has become such a small "manageable" device. Moving around with it is so much easier than even the setup we used just before the new Cardihelp pump, which is quite small and very portable. Add to that the increased availability and usage across many populations and it has become such an incredible tool to save so many people. I'm always in awe of the technology and it will be interesting to see how it advances in the future!

[@hishamarbab1646]

You can't imagine how much you make my life easy Love you man ✌🏿

[@nonyabusiness7780]

Ecmo saved my daughter's life. She was put on it when she was less than 8 hours old. She is now almost 20 and this machine saved her.

[@ICUAdvantage]

Wow! This is so amazing to hear. Thank you for sharing and so glad this was available for your daughter!

[@olga4732]

ECMO survivor here ! Central cannulation via median sternotomy God is good .

[@melissasullivan5899]

This is an excellent explanation everyone can understand. Thank you!

[@ICUAdvantage]

So glad to hear this Melissa! I really tried to break it down and make it understandable, so happy to hear I may have done a good job! 😊

[@ksenijavranjevac2572]

Hi Eddie! The weirdest thing happened - I watched your ECMO videos this afternoon, and several hours later, I happened to care for a patient who fit the v-v ECMO indications to a T! She's on her way to the ECMO center as we speak! Thanks for giving me the knowledge to be confident in my assessment that "she needs ECMO".

[@ICUAdvantage]

Thats so cool! Well, not that she needed ECMO, but hopefully it'll help her, but more so that you recognized the potential need. One of the best things we can do for our patients is to advocate for them!

[@jillridling2431]

Really excellent presentation and a very understandable breakdown of the ECMO components and processes. I was curious about how ECMO worked and when it was indicated since the use of ECMO appears to be so critical in the tx. of advanced CV. I'm not a doctor, but I teach future RN's and Doctors at a High School pre-med program and the students like to throw random questions my way concerning current med issues and tx. so I just want to be prepared! Thanks again!

[@ICUAdvantage]

So cool! I can imagine you end up with some quite inquisitive students. Thanks for doing what you do and glad to hear that you enjoyed this video.

[@azelinbuttitta]

I am starting in a CVICU in two weeks and loved getting a brief rundown before I start ECMO training. Thank you!

[@ICUAdvantage]

Awesome and congrats on the new position! Hope you enjoyed the video!

[@jesmonal]

My daughter was placed on VV ECMO using a dual cannula when she was 24 hours old due to pulmonary hypertension from Maconium aspiration. Her lungs recovered and she was off the machine in 5 days. She is doing well and expected to be discharged from hospital in a week. You have beautifully explained the procedure. It makes a big difference for parents like us. Thank you !

[@gaganbhandari4156]

I had ecmo treatment.recovered after 1 month in hospital. 2 weeks in coma ,week in icu and a week in general ward .lucky I survived .

[@ICUAdvantage]

Wow! Thank you for sharing and happy to hear this amazing therapy was available for you!

[@jskratnyarlathotep8411]

but why multiorgan failure or renal failure is a contraindication against using ecmo? won't using it relieve that failure by increasing blood perfusion and oxygenation? especially when it was the reason of organ failure in the first place. What exactly ecmo does to the organism except helping the heart and oxygenating blood?

[@jorde1516]

Awesome work! Can you do a video on common types of post-op hearts (CABG's)? You rock, keep it up!

[@ICUAdvantage]

Thank you so much Jordon! And yes, I actually have that as a video to do on my todo list! Great suggestion.

[@satelliteexile2089]

I have no idea how I got here, I'm not in medicine but it's still a fascinating piece of tech. It's a hell of a difference from the iron lungs.

[@ICUAdvantage]

Hahaha, the KZbin rabbit hole can take you to some interesting places sometimes lol. But yes, it is pretty amazing!

[@tovmir3033]

I was in the ecmo machine when I was born and they gave me only 9 years of life and I’m currently 25

[@TriComm390724]

Your channel is amazing! I start my flight nurse position Monday and this really helps me fill in the gaps on a lot of things. My ICU didn't do things like ecmo, impellas, lvads, etc but now I will definitely be transporting those patients so this is super helpful! Thank you for putting this great content out there!

[@ICUAdvantage]

Thank you so much!! And thats so awesome to hear Kelsey! I've got a few friends who do it and they love it. I would be lying if I didn't think about it from time to time 😊 So glad to hear you liked the video and that it gave you some good info for your new amazing job!

[@tymoney4695]

Dietitian here. Love all the comments about people who went on ECMO and pulled through. I do nutrition support for ECMO

[@dlandrews1]

This was so helpful to really outline the components of ECMO, the reasons for ECMO, as well as the contraindications for ECMO. I’m so glad that I ran across your video!

[@ICUAdvantage]

I'm so glad you found your way over too and happy to hear you enjoyed the video!

[@syednoman152]

I didn't know this existed. Believe it or not.. I was thinking about a machine like this. And here i get to know about it 👍👍👍 Thank you very much 👏👌👍✌💪

[@ICUAdvantage]

Glad you liked it

[@christinecortese9973]

I’m not a medical professional but I have a body with both respiratory and cardiac glitches. It’s very good to have this explained so thoroughly.

[@ICUAdvantage]

Glad you liked it!

[@michelletrimmer6750]

My friend was on ECMO for 31 days. She died. She had a congenital heart defect. Her mitral valve was damaged. She had 3 previous procedures. The went to have a 4 procedure to install a mechanical valve. Due to scar tissue they were unable to put it in so they inserted a pig valve. After her procedure she had a heart attack. They did a single CBG. She arrested but they got her back and they put her on ECMO.

[@ICUAdvantage]

I'm so sorry to hear about your friend 😢

[@decoratingwithjoshaywoods7580]

I love it!!! I'm a CVOR Surgical Tech and this has truly helped me understand ECMO even more and to helps me to explain more about it to orientees when they come through!!!

[@ICUAdvantage]

Awesome! Glad you liked the video Joshua!

[@sarfrazkhan9999]

Doctor used ECMO when I had severe respiratory due to Covid.thanks for doctor and this device who saved my life and Specially God who gave me another life .really great information 👌🙏

[@ICUAdvantage]

WOW! So glad to hear the positive result. So glad that this was available for you when you needed it and hoping for a speedy recovery for you.

[@sarfrazkhan9999]

@@ICUAdvantage thanks I have recovered now back to normal life thanks Almighty God and Doctors and nurses