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Has anybody done this?
For what type of case/patient?
For what type of case/patient?
Impella yes but ecmo no. That's pretty spicy.
Because it was a 71 y/o cripple (anoxic brain injury at birth) 3 weeks post op from a total cystectomy for a "neurological bladder" ( don't know if you use that term) that developed a respiratory sepsis post op and don't ask me why they did a coronagraphy and found a left main disease which they wanted to treat even though the dude wasn't going to do much in the excercise department...+1, if you are going all the way to ECMO why not just take it a step farther and do a CABG?
You read my mindSounds like taxpayer money well spent.
Because it was a 71 y/o cripple (anoxic brain injury at birth) 3 weeks post op from a total cystectomy for a "neurological bladder" ( don't know if you use that term) that developed a respiratory sepsis post op and don't ask me why they did a coronagraphy and found a left main disease which they wanted to treat even though the dude wasn't going to do much in the excercise department...
Needless to say this case baffled me and i was super pumped about doing it
Has anybody done this?
For what type of case/patient?
I thought you were in Europe.Because it was a 71 y/o cripple (anoxic brain injury at birth) 3 weeks post op from a total cystectomy for a "neurological bladder" ( don't know if you use that term) that developed a respiratory sepsis post op and don't ask me why they did a coronagraphy and found a left main disease which they wanted to treat even though the dude wasn't going to do much in the excercise department...
Needless to say this case baffled me and i was super pumped about doing it
Yeah it's funny how each side of the Atlantic tries to make arguments based on the percieved care given on the other side when in reality we aren't that different.Ok, I see that you are. Thought cases like these didn’t happen there.
Never mind.
Anybody else has a take on this procedure? (not the case).
No i'm just seeing intensivist left and right placing them as often as possible. Can't tell if it's for the sake of doing "cool" procedures, reembursement or bothThere's enough relative contraindications against ECMO in this patient that it sounds like a bad idea. Are you in a setting that's trying to promote more ECMO use/investigations?
BothNo i'm just seeing intensivist left and right placing them as often as possible. Can't tell if it's for the sake of doing "cool" procedures, reembursement or both
No i'm just seeing intensivist left and right placing them as often as possible. Can't tell if it's for the sake of doing "cool" procedures, reembursement or both