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Intro
Background
The four key pressures to be cognizant of and to monitor in the ECMO circuit are
The essential axioms for the ECMO circuit
Causes of excess negative pressure
Circuit Outflow Pressures
Causes of increased outflow pressure
Polymethylpentene (PMP) oxygenators
Understanding Circuit Pressure and Flow Dynamics
Conclusion
Hypoxemia
Inefficiencies of Vv Ecmo
Vv Ecmo Shunt
Optimization of the Ecmo Flow to Cardiac Output Ratio
Excessive or Hyperdynamic Cardiac Output
Strategies
Optimal Cannula Placement
Clinical Considerations for Hypoxemia on Vv Ecmo
Avoiding Aggressive Ventilation Strategies Summary Strategies for Management of Hypoxemia on Bbv