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Sunday, November 15, 2015

ANAESTHETIC MANAGEMENT OF SURGICAL PROCEDURES UNDER ECMO



The plastic components of the bypass circuit can sequester varying amounts of intravenous anesthetic agents resulting in unpredictable effects and side effects 

Volatile anaesthetics are not usually available on ECMO circuits due to the difficulties in scavenging 

Since anesthetic agents can alter preload and afterload, should be ready for volume replacement and administration of vasoactive agents

Should inform the perfusionist before changing the height of the surgical table, as this can alter the venous return to the ECMO circuit ( passive gravity assisted drainage)



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