
Extracorporeal membrane oxygenation (ECMO) for cardiac failure is on the rise worldwide. Some challenges, such as limb ischemia and thrombotic or hemorrhagic events, are well-recognized. Newer data suggests that ventricle distension and upper body hypoxemia during veno-arterial (VA) support may be harmful to patient recovery also. In this video, we present two clinical scenarios highlighting alternative strategies for optimal VA support.
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