[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-370897-105":59,"doc-detail-370897-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","extracorporeal-membrane-oxygenation-ecmo-clinical-case-review","Extracorporeal Membrane Oxygenation - ECMO - Clinical Case Review","","This document provides a detailed clinical introduction to Extracorporeal Membrane Oxygenation (ECMO), presented by Dr. Raymond C. Lee. It covers fundamental course objectives, including the history, indications, and contraindications of venovenous (VV) and venoarterial (VA) ECMO. The report transitions from theoretical framework to a practical case study involving a 39-year-old postpartum patient in respiratory distress, utilizing clinical data, patient history, and hemodynamic monitoring parameters to illustrate the application of ECMO in critical care medicine.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/extracorporeal-membrane-oxygenation-ecmo-clinical-case-review/370897/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/extracorporeal-membrane-oxygenation-ecmo-clinical-case-review/370897.png","ImageObject",300,407,{"name":92,"@type":93},"Stanford","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-01","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",14,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What are the primary objectives of the ECMO introductory course?","Question",{"text":113,"@type":114},"The course objectives include understanding the history of ECMO, identifying indications and contraindications for VV and VA ECMO, recognizing circuit components, describing basic physiology, and learning assessment and weaning techniques.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What is the clinical background of the patient presented in the case study?",{"text":118,"@type":114},"The patient is a 39-year-old female, two weeks postpartum, who presented to the ED with malaise, shortness of breath, and cough, which progressed in severity despite an initial URI diagnosis.",{"name":120,"@type":111,"acceptedAnswer":121},"What clinical signs were noted during the patient's initial ICU assessment?",{"text":122,"@type":114},"The patient exhibited severe respiratory distress, tachycardia (HR 140), tachypnea (RR 29), and low oxygen saturation (92%) while on BiPAP support, necessitating intensive monitoring and potential ECMO intervention.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},370897,1790305375,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":145,"read_time":146},2336477552062,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)  \nECMO  \nGOOD, BAD, UNKNOWN  \nRaymond C Lee M.D.  \nAssistant Professor of Clinical Surgery Division of Cardiothoracic Surgery Cardiovascular Thoracic Institute Keck School of Medicine of USC Director Cardiac Surgery Providence St. John’s  \nDisclosures  \nSpeaker and Consultant Abiomed Surgical Advisory Board Abiomed  \n|  | ECMO INTRODUCTORY |  |\n| --- | --- | --- |\n|  | COURSE OBJECTIVES |  |\n| • Appreciate the history of ECMO\u003Cbr>• Recognize major types of ECMO, their indications and contraindications (venovenous (VV) and venoarterial (VA))\u003Cbr>• Identify the components of the ECMO circuit\u003Cbr>• Describe basic physiology of venovenous (VV) and venoarterial (VA) ECMO.\u003Cbr>• Describe the process of ECMO weaning for VV and VA ECMO\u003Cbr>• Identify common problems and major complications of ECMO.\u003Cbr>• Comprehensively assess the ECMO patient with appropriate monitoring techniques. |  |  |\n\nECMO INTRODUCTION  \nECMO INDICATIONS AND CONTRA INDICATIONS  \nLET’S START WITH A  \nCASE….  \n39 F two weeks post partum, G2P2 presents to an outside ED with 3 days of worsening malaise, SOB, rhinorrhea, nonproductive cough  \n• ED work up including chest xray was unremarkable  \n• She was discharged home with URI diagnosis and symptomatic treatment  \n• She returned to the ED the next day    \nPast Med/Surg History: Unremarkable. G2P2, 2 weeks post partum term vag delivery, healthy female, uncomplicated, breast feeding  \nSocial History: Flight attendant, off on maternity leave,(-) ETOH/illicit drugs/tobacco  \nMedications: Fe supplement and prenatal MV  \nAllergies: None  \nT 36.6 ℃ HR140 RR29 BP104/80 Sat 92 % BIPAP 12/5 100% BMI 27.4  \n• Gen: WDWN, severe distress, speaks in 1-2 word  \nsentences  \n• HEENT: MMM, using accessory muscles (-) JVD  \n• CVS: tachycardic no murmur  \n• RESP: B rhonchi, R>L with decreased BS RLL  \n• ABD: soft, NTND  \n• EXT: (-)edema, rash; wwp, brisk cap refill  \nED 2/8 1400 ICU 2/8 18:00","cbCaibA3IbUN9u4c","https://ap.wps.com/l/cbCaibA3IbUN9u4c","pdf",11499764,133,"English","# Introduction to ECMO\n## Course Objectives\n# Clinical Case Study\n## Patient Presentation and History\n## Clinical Assessment and ICU Admission","[{\"question\":\"What are the primary objectives of the ECMO introductory course?\",\"answer\":\"The course objectives include understanding the history of ECMO, identifying indications and contraindications for VV and VA ECMO, recognizing circuit components, describing basic physiology, and learning assessment and weaning techniques.\"},{\"question\":\"What is the clinical background of the patient presented in the case study?\",\"answer\":\"The patient is a 39-year-old female, two weeks postpartum, who presented to the ED with malaise, shortness of breath, and cough, which progressed in severity despite an initial URI diagnosis.\"},{\"question\":\"What clinical signs were noted during the patient's initial ICU assessment?\",\"answer\":\"The patient exhibited severe respiratory distress, tachycardia (HR 140), tachypnea (RR 29), and low oxygen saturation (92%) while on BiPAP support, necessitating intensive monitoring and potential ECMO intervention.\"}]","Extracorporeal Membrane Oxygenation - ECMO - Clinical Case Review | PDF",1790190778,335]