{"id":5619,"date":"2020-03-22T01:31:02","date_gmt":"2020-03-22T05:31:02","guid":{"rendered":"https:\/\/edecmo.org\/?p=5619"},"modified":"2021-11-02T23:46:05","modified_gmt":"2021-11-03T03:46:05","slug":"63-covid-and-ecmo-who-do-we-cannulate-with-jenelle-badulak","status":"publish","type":"post","link":"https:\/\/edecmo.org\/63-covid-and-ecmo-who-do-we-cannulate-with-jenelle-badulak\/","title":{"rendered":"63: Covid and ECMO &#8211; Who do we cannulate? with Jenelle Badulak"},"content":{"rendered":"<!--powerpress_player--><div class=\"powerpress_player\" id=\"powerpress_player_1378\"><!--[if lt IE 9]><script>document.createElement('audio');<\/script><![endif]-->\n<audio class=\"wp-audio-shortcode\" id=\"audio-5619-1\" preload=\"none\" style=\"width: 100%;\" controls=\"controls\"><source type=\"audio\/mpeg\" src=\"http:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/edecmo\/Covid_ECMO2.mp3?_=1\" \/><a href=\"http:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/edecmo\/Covid_ECMO2.mp3\">http:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/edecmo\/Covid_ECMO2.mp3<\/a><\/audio><\/div><p class=\"powerpress_links powerpress_links_mp3\" style=\"margin-bottom: 1px !important;\">Podcast: <a href=\"http:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/edecmo\/Covid_ECMO2.mp3\" class=\"powerpress_link_pinw\" target=\"_blank\" title=\"Play in new window\" onclick=\"return powerpress_pinw('https:\/\/edecmo.org\/?powerpress_pinw=5619-podcast');\" rel=\"nofollow\">Play in new window<\/a> | <a href=\"http:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/edecmo\/Covid_ECMO2.mp3\" class=\"powerpress_link_d\" title=\"Download\" rel=\"nofollow\" download=\"Covid_ECMO2.mp3\">Download<\/a> (Duration: 23:09 &#8212; 19.1MB)<\/p><p class=\"powerpress_links powerpress_subscribe_links\">Subscribe: <a href=\"https:\/\/edecmo.org\/feed\/podcast\/\" class=\"powerpress_link_subscribe powerpress_link_subscribe_rss\" target=\"_blank\" title=\"Subscribe via RSS\" rel=\"nofollow\">RSS<\/a><\/p><p>&#8220;Normal life is changing.\u00a0 It is now a covid 19 life&#8221; &#8211; Bin Cao<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-5627 alignright\" src=\"https:\/\/edecmo.org\/wp-content\/uploads\/2020\/03\/Badulak-Jenelle_web.png\" alt=\"\" width=\"154\" height=\"216\" \/><\/p>\n<p>I write this with some trepidation as well as pride in the role we all get to play in Covid 19.\u00a0 The sure in the US and many other places worldwide is just beginning.\u00a0 It is on us to seek guidance from those who have gone through this already.\u00a0 Today we will address the use of ECMO in Covid with an expert in ECMO who is in the throws of the worst outbreak of the United States &#8211; Seattle, Washington.\u00a0 Jenelle Badulak and I give you a short yet powerful discussion about what Covid patients should receive ECMO.<\/p>\n<p>Take homes for decision to initiate- comorbidities (HTN, DM especially), single organ dysfunction, young age, trajectory of course<\/p>\n<p>Hosts &#8211; Jenelle Badulak, Zack Shinar<\/p>\n<p>&nbsp;<\/p>\n<p><strong>ECMO guidance for Coronavirus<\/strong><\/p>\n<ul>\n<li>MERS ECMO Data\n<ul>\n<li>Alshahrani MS, Sindi A, Alshamsi F, Al-Omari A, El Tahan M, Alahmadi B, Zein A, Khatani N, Al-Hameed F, Alamri S, Abdelzaher M, Alghamdi A, Alfousan F, Tash A, Tashkandi W, Alraddadi R, Lewis K, Badawee M, Arabi YM, Fan E, Alhazzani W. Extracorporeal membrane oxygenation for severe Middle East respiratory syndrome coronavirus. Ann Intensive Care. 2018 Jan 10;8(1):3. doi: 10.1186\/s13613-017-0350-x. PubMed PMID: 29330690; PubMed Central PMCID: PMC5768582<\/li>\n<li><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-5620\" src=\"https:\/\/edecmo.org\/wp-content\/uploads\/2020\/03\/MERS-ECMO.png\" alt=\"\" width=\"337\" height=\"273\" \/><\/li>\n<\/ul>\n<\/li>\n<li>Chinese Society of Extracorporeal Life Support. [Recommendations on extracorporeal life support for critically ill patients with novel coronavirus pneumonia]. Zhonghua Jie He He Hu Xi Za Zhi. 2020 Feb 9;43(0):E009. doi: 10.3760\/cma.j.issn.1001-0939.2020.0009. [Epub ahead of print] Chinese. PubMed PMID: 32035430.\n<ul>\n<li>http:\/\/rs.yiigle.com\/yufabiao\/1180132.htm<\/li>\n<li>Inclusion criteria under this paper are&#8211;&gt;<\/li>\n<li>Under optimal ventilation conditions (FiO\u00a0<sub class=\"sub\">2<\/sub>\u00a0\u2265 0.8, tidal volume 6 ml \/ kg, PEEP \u2265 10 cmH\u00a0<sub class=\"sub\">2<\/sub>\u00a0O), ECMO can be started if there are no contraindications and one of the following conditions is met\u00a0<sup class=\"sup\">[\u00a0<a class=\"xref bibr\" target=\"_blank\" rel=\"noopener noreferrer\">7<\/a>\u00a0,\u00a0<a class=\"xref bibr\" target=\"_blank\" rel=\"noopener noreferrer\">8<\/a>\u00a0,\u00a0<a class=\"xref bibr\" target=\"_blank\" rel=\"noopener noreferrer\">14<\/a>\u00a0,\u00a0<a class=\"xref bibr\" target=\"_blank\" rel=\"noopener noreferrer\">16<\/a>\u00a0,\u00a0<a class=\"xref bibr\" target=\"_blank\" rel=\"noopener noreferrer\">17<\/a>\u00a0,\u00a0<a class=\"xref bibr\" target=\"_blank\" rel=\"noopener noreferrer\">18<\/a>\u00a0]<\/sup>\u00a0: (1) PaO\u00a0<sub class=\"sub\">2<\/sub>\u00a0\/ FiO\u00a0<sub class=\"sub\">2<\/sub>\u00a0&lt;50 mmHg for more than 3 h; (2) PaO\u00a0<sub class=\"sub\">2<\/sub>\u00a0\/ FiO\u00a0<sub class=\"sub\">2<\/sub>\u00a0&lt;80 mmHg for more than 6 h; (3) FiO\u00a0<sub class=\"sub\">2<\/sub>\u00a0= 1.0, PaO\u00a0<sub class=\"sub\">2<\/sub>\u00a0\/ FiO\u00a0<sub class=\"sub\">2<\/sub>\u00a0&lt;100 mmHg; (4) Arterial blood pH &lt;7.25 and PaCO\u00a0<sub class=\"sub\">2<\/sub>\u00a0&gt; 60 mmHg for more than 6 hours, and respiratory rate&gt; 35 times \/ min; (5) When respiratory rate&gt; 35 times \/ min, blood pH &lt;7.2 The plateau pressure was&gt; 30 cmH\u00a0<sub class=\"sub\">2<\/sub>\u00a0O; (6) severe air leak syndrome; (7) combined with cardiogenic shock or cardiac arrest.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li>Good overall webinar &#8211; ECMO considerations start &#8211; http:\/\/iv.docbook.com.cn\/record\/app-name\/46020\/2020-03-19-20-45-14_2020-03-19-21-40-14.mp4\n<ul>\n<li>Slides here &#8211; <a href=\"https:\/\/edecmo.org\/wp-content\/uploads\/2020\/03\/Ning-Zhou-The-application-of-ECMO-in-severe-Covid-19-patients.pdf\">Ning Zhou-The application of ECMO in severe Covid-19 patients<\/a><\/li>\n<\/ul>\n<\/li>\n<li><a href=\"https:\/\/www.elso.org\/Portals\/0\/Files\/pdf\/ECMO%20for%20COVID%2019%20Guidance%20Document.Final%2003.24.2020.pdf\">ELSO Guidance Document<\/a><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8220;Normal life is changing.\u00a0 It is now a covid 19 life&#8221; &#8211; Bin Cao<\/p>\n<p>I write this with some trepidation as well as pride in the role we get to play as we begin the surge of Covid 19 in the United States.\u00a0 Today we will address the use of ECMO in Covid with an expert in ECMO who is in the throws of the worst outbreak of the United States &#8211; Seattle, Washington.\u00a0 Jenelle Badulak and I give you a short yet powerful discussion about who we should put on ECMO with Covid.<\/p>\n<p>Hosts &#8211; Zack Shinar, Jenelle Badulak<\/p>\n","protected":false},"author":5,"featured_media":5627,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"63: Covid and ECMO - Who do we cannulate? with Jenelle Badulak @jenellebadulak, @zackshinar, @foamecmo, @lionellamhaut, @ecmoed,","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false}}},"categories":[4],"tags":[345,344,120,205,346,24,223],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/edecmo.org\/wp-content\/uploads\/2020\/03\/Badulak-Jenelle_web.png","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p3JzC4-1sD","_links":{"self":[{"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/posts\/5619"}],"collection":[{"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/comments?post=5619"}],"version-history":[{"count":1,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/posts\/5619\/revisions"}],"predecessor-version":[{"id":6789,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/posts\/5619\/revisions\/6789"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/media\/5627"}],"wp:attachment":[{"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/media?parent=5619"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/categories?post=5619"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/tags?post=5619"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}