ECMO-/ECLS

(Marcin) #1

 Vasodilation and capillary leak
 Hypotension
 Jitteriness
 Temperature elevation
 Hypocalcemia
 Inhibition of platelet aggregation
 Apnea (one must be ready to intubate when starting Prostaglandins!)


Long term adverse effects
 Infusions > 120 hours: gastric outlet obstruction, reversible cortical proliferation
of the long bones. Widened fontanels, pre-tibial swelling and soft tissue swelling are
seen in infusions > 9days.
 Infusions > 3 months: cortical hyperostosis and periostitis which resolves over
weeks after therapy is discontinued


Dosing
 Initial dose: 0.05-0.1 mcg/kg/minute by continuous IV infusion
 Maintenance dose: 0.01-0.03 mcg/kg/minute
 If possible, initial dose should be weaned to minimize side effects


When on prostaglandins, maintenance fluids should be increased by 20% because of
capillary leak.
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