Annsley Webb, a junior, has started her thesis project. She has secured a mentor, met with professionals in the field, and had the amazing opportunity of visiting the San Diego Sharpe Memorial Hospital emergency department. We interviewed Annsley to help others gain insight on their thesis projects:. Shinar has started it at the Sharp Memorial Hospital in the emergency department. In Europe, it is used by an emergency doctor who goes out into the field and uses it to save lives. Because of socialized medicine, there is money for this so it is possible.
Monitoring the ECMO
Monitoring the ECMO | Nurse Key
The blood is actively pumped through a membrane oxygenator, removing carbon dioxide and adding oxygen. Afterwards, the oxygenated blood is actively pumped into the arterial central system via a cannula placed in the femoral or subclavian artery closed chest or directly into the aorta. VV ECMO drains blood from the superior vena cava via an internal jugular venous cannula or inferior vena cava via a femoral venous cannula. The blood is pumped via the oxygenator back into the venous system via a femoral venous cannula. A double-lumen cannula , inserted in the internal jugular vein, can be used for venous drainage and return. It is most commonly employed for the placement of a bicaval double-lumen cannula, usually introduced percutaneously in the right internal jugular vein.
Editorial: Extracorporeal Membrane Oxygenation
Intensive care unit ICU staff are exposed to a broad range of professional, ethical and clinical practice issues such as when to offer and withdraw potentially life-saving care, which are most apparent when working with hyper-advanced technologies such as extracorporeal membrane oxygenation ECMO. Despite the rapid increase in use of ECMO to support adults with critical heart and lung conditions, few studies have documented staff experiences of working with this technology. This study aimed to explore ICU doctors and nurses conceptualisations of key professional, ethical and clinical practice issues relating to ECMO, and the psychological impact of managing them. Data were analysed using thematic analysis, underpinned by a critical realist epistemological stance.