VA-ECMO

Peripheral femoro-femoral veno-arterial support. Set a pump speed and adjust the physiology, then watch for Harlequin (differential hypoxia between the pre-ductal right hand and the lower limb), LV distension with loss of arterial pulsatility, and drainage-line suck-down. Load a scenario to interpret.

BEDSIDE MONITOR--:--:--
ECG--bpm
ABP--/--mmHg · R radial
SpO2 R--% · right hand
ECMO CIRCUIT — femoro-femoral VA -- L/min
Femoral vein — drainage Femoral artery — return LV AV open R hand (pre-ductal) Leg (post-ductal) PUMP 3,400 rpm OXYGENATOR sweep 3.0 · FdO₂ 100% -- ACCESS -- RETURN -- ΔP OXY IABP Impella Vent
Drainage Return (retrograde) Sweep gas Watershed
PUMP SPEED
-- rpm
ECMO FLOW
-- L/min
ACCESS PRESSURE
-- mmHg
RETURN PRESSURE
-- mmHg
ΔP OXYGENATOR
-- mmHg
SvO₂ (pre-oxy)
--%
SWEEP GAS
-- L/min
FdO₂
--%
pCO₂ (arterial)
-- mmHg
TOTAL CO (native + ECMO)
-- L/min
LVEDP
-- mmHg
LV UNLOADING
None
ARTERIAL PULSATILITY
--
ALARM
--