Скачать или смотреть LV Unloading in VA ECMO: Essential strategies and insights | Critical Care Webinar

Left ventricular(LV) strain during VA ECMO can worsen heart recovery if not managed properly. Discover why unloading the LV is essential to prevent complications and improve outcomes. Understand the key physiological changes and risks associated with LV overload. Explore active and passive unloading methods, including devices like IABP and Impella. Learn practical insights on clinical and cost considerations to optimize patient care.

Video Timelines

00:00 Introduction
07:00 Pressure-volume loops & LV function explained
10:30 Indications & criteria for LV unloading
12:00 Active vs passive LV unloading strategies
17:00 Role of IABP with VA ECMO
22:00 Percutaneous LV unloading devices like Impella
26:00 Comparison of LV unloading methods & cost considerations
36:00 Expert clinical debate & device selection strategies
40:00 Optimal selection of unloading devices based on patient status
47:00 Discussion on prophylactic vs rescue LV unloading
49:00 Inotrope strategies and balancing vasopressors
51:30 Management of arrhythmias during inotrope use
55:00 LV unloading strategies in myocarditis and biventricular failure
58:00 Practical considerations for device use and cost in India
1:03:00 Monitoring and complications of Impella
1:08:32 When do you actually attempt for LV venting in a ECPR situation
1:12:00 What is the timing of withdrawal for the unloading


Expert Panelist
Dr. K. R. Ramanathan
Director ICU Fellowship Programme at
National University Hospital, Singapore

Speaker
Dr. Sricharan Goda
Consultant Dept. of Critical Care Medicine,
ECMO, Heart & Lung Transplant Unit
Yashoda Hospitals, Secunderabad

Moderator
Dr. Venkat Raman Kola
Clinical Director,
Dept. of Critical Care Medicine
Yashoda Hospitals

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