Thread by @DWerho

Tweetorial of @AparnaHoskote ‘s fantastic talk on #ecmo pearls for #singleventricle #chd in the #PedsCICU #PedsICU at #jpccim2019. Single ventricle pts have 43% ecmo survival. Several tweets to follow with pearls for how to optimize! @PICS_Conference @PCICS2 @PICSociety
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Pearl 1: Timing is important; go on #ecmo electively
#jpccim2019 2/10

Pearl 2: hypoxemia is a better indication with better prognosis than hypotension (I.e. shunt issues are better than cardiac dysfunction) #jpccim2019 3/10

Pearl 3: keep the shunt at least partially open; compensate with higher #ecmo flows. #jpccim2019 4/10

Pearl 4: adequate flows are important. The faster the lactate clears, the more likely a better outcome #jpccim2019 5/10

Pearl 5: earlier cardiac cath improves outcomes; decompress the heart and diagnose/correct reversible lesions #jpccim2019 6/10

Pearl 6: prevent #ecmo complications #jpccim2019 7/10

Pearl 7: protect the lungs and take every opportunity to get off #ecmo #jpccim2019 8/10

Pearl 8: special considerations for Glenn/hemi patients and Fontan patients on #ecmo #jpccim2019 9/10

Pearl 9: #teamwork is everything!!!!!! #PedsICU #PedsCICU #pedscards #pedsCTSurg #jpccim2019 @AparnaHoskote 10/10