Trajectories in ECMO: Indications, Support, Palliation

Author(s): Richard Arbour, MSN,RN,CCRN,CNRN,CCNS,CCTC,FAAN,FCCM; Orion L Garcia, RN BSN CCRN; Mackenzie Abate, DNP, CRNP

Contact Hours 2.50

CERP A 2.50

Pharmacology Hours 0.50

Expires Dec 31, 2028

Topics: Pharmacology, ECMO

Population: Adult

Role: APRN, Staff

Fees
Member: Free
NonMember: $10.00

Added to Collection

Activity Summary

Before you Begin

1. Reflect on the following question: What new knowledge or perspective do you hope to gain from this activity?

2. Review: Implicit Bias and its Impact on Patient Outcomes (License requirement for California)

Description

Session includes ECMO indications/contraindications, interfacility referral criteria and differentiation of flow versus sweep speed. Real-time titration is appraised in V-A/V-V ECMO for goal-directed care, brain death testing and ethical analysis of patient selection/criteria for nonbeneficial care in ECMO palliation and death. Advanced case studies analyze ECMO deescalation/decannulation in the setting of nonbeneficial care, sweep titration in CO2 responsiveness/apnea testing, goal-directed care with patient-specific ECMO titration and defining death while accenting interdisciplinary care and APRN roles. Pharmacology content = 20%

Objectives

  • Analyze ECMO candidacy indications and clinical triggers for cannulation and referral if patient is not at an ECMO-capable facility.
  • Use clinical data real-time in patient-specific titration of ECMO flow and sweep speed based on endpoints, complications and futility.
  • Define ECMO endpoints, ethical analysis, complications, nonbeneficial care and death pronouncement when titrating 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.