Course Content
Module 1: Basic ECMO
Module I: Extracorporeal Membrane Oxygenation Basics (ECMO Basics) This module covers the foundational knowledge of ECMO, including circuit physiology, components, and basic ECMO management. Duration: 3 Weeks (Course weeks 1 to 3) Week 1: Introduction to ECMO Week 2: ECMO Physiology & Circuit Management Week 3: ECMO Complications and Troubleshooting Module I Pretest: 30 MCQs
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Module II: Veno-venous Extracorporeal Membrane Oxygenation (VV ECMO)
This module focuses on the use of VV ECMO in patients with respiratory failure. Topics include ARDS management, VV ECMO cannulation strategies, and VV ECMO troubleshooting. Duration: 3 Weeks (Course weeks 4 to 6) Module II Pretest: 30 MCQs Week 4: VV ECMO Fundamentals Start Date: July 20, 2025 a. Respiratory failure and ARDS management (Ahmed Magdey) b. Evidence for VV ECMO use and landmark trials (Hesham Faisal) c. VV ECMO cannulation techniques and pros and cons of different VV ECMO configuration choices (Moustafa Esam) d. ECMO Retrieval and Patient Transport on ECMO (Ahmed Labib)
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Module III: Veno-arterial Extracorporeal Membrane Oxygenation (VA ECMO)
This module focuses on VA ECMO for cardiogenic shock, including cannulation strategies, LV unloading, and advanced applications. Duration: 3 Weeks (Course weeks 7 to 9) Module II Pretest: 30 MCQs
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Extra Corporeal Membrane Oxygenation (ECMO) and Mechanical Circulatory Support (MCS) course (Copy 4)

ECMO Circuit Components: cannulas, tubing, pump, membrane oxygenator, pressure/flow monitors, and other additional components (Dr. Faten Farid)

ECMO Overview

  • Two ECMO types:

    • VV ECMO: For respiratory support

    • VA ECMO: For cardiac support

  • Circuit components: Include pump (centrifugal/roller), oxygenator, cannulas, heat exchanger

Cannulas & Technical Details

  • Biocompatible, wire-reinforced cannulas collapse for insertion, expand in position

  • Proper cannula sizing and placement (e.g., IVC for drainage) essential for adequate flow

  • Monitoring via ECMO consoles includes RPM, flow rate, and backup hand crank system

Oxygenator Function & Circuit Safety

  • Oxygenators:

    • Polypropylene for short-term

    • Polyimide for long-term

  • Heat exchanger regulates blood temperature

  • Vigilance required to prevent thrombus, air embolism, and disconnection

Circuit Monitoring Essentials

    • Low flow may suggest cannula size/clot issues

    • Non-invasive monitors detect air bubbles and trigger alarms

      Monitor flow, efficacy, harm:

  • Track pump speed, circuit pressures, gas flow

Pressure Monitoring

    • Pre-pump, post-pump pre-oxygenator, post-oxygenator

      Key pressures:

  • Rising delta pressure = resistance or obstruction

  • Emphasized trend monitoring over isolated readings

Oxygenator Monitoring

  • Check pre- and post-oxygenator PO₂ (>300–350 mmHg ideally)

  • Watch for recirculation or contamination that skews readings

  • Decline in efficacy suggests need for replacement

Safety & Complication Awareness

  • Monitor for bleeding, thrombosis, hemolysis

  • Use of alarms, bubble detectors, and battery backups is critical for safe operation

Saving Lives Academy
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