Case Studies in Advanced ECMO Strategy: Endpoints, Ethics, Futility and Death

Activity Summary

Required reading for all learners: Implicit Bias impacts patient outcomes

This session includes ECMO indications/contraindications and differentiating flow versus sweep speed. Real-time titration is appraised in V-A/V-V ECMO for goal-directed care, brain death/apnea testing and ethical issues with patient selection/futility criteria for ECMO de-escalation and death. Advanced case studies show ECMO de-escalation/decannulation when futile, sweep titration in CO2 responsiveness/apnea testing, goal-directed care and defining death accenting interdisciplinary care and APRN role.

Objectives

Analyze advanced cardiopulmonary failure, causation and clinical goals during evaluation for ECMO support.
Employ clinical data in real-time when modifying plan of care during ECMO support based on endpoints, complications and futility.
Define endpoints, ethics, neurologic complications, brain death testing and death pronouncement when adapting ECMO support.

Continuing Education Disclosure Statement

Criteria for Awarding Contact Hours

Learners must complete the entire activity and the associated evaluation AND read Implicit Bias impacts patient outcomes. No partial credit will be awarded.

Accreditation

American Association of Critical-Care Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.
Provider approved by the California Board of Registered Nursing, Provider number CEP 1036, for {contactHours} contact hours.

Disclosures

The Nurse Planner has determined that no individuals with the ability to control content of this activity have relevant relationships with ineligible companies.

Activities with pharmacotherapeutic credit are to assist the APRN in fulfilling their education requirements for licensure and certification renewals.

Refund Policy

Continuing Education Activities are nonrefundable.