TYK224

Indications for ECMO include:

a) Potentially reversible cardiac failure

b) Acute Respiratory Distress Syndrome (ARDS)

c) Need for dialysis

d) Severe septic shock with multi-organ dysfunction syndrome

e) All of the above

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Answer

Answer e. ECMO may be used for both primary cardiac and primary respiratory failure, as well as for circulatory collapse from severe sepsis. In situations where emergent dialysis is required in neonates (e.g., for hyperammonemia due to metabolic anomaly) and hemodialysis is not possible due to patient size or hemodynamic instability, ECMO has been used with in-line continuous renal replacement therapy.

Notes

This question originally printed in the Pediatric Anesthesiology Review Topics kindle book series, and appears courtesy of Naerthwyn Press, LLC.

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