Episode # 30 • 24 Mar 2026
ECMO for Cardiologists: Practical Insights & Management
Understanding when to use extracorporeal membrane oxygenation (and how) can be extra complex, but knowing the intricacies of ECMO is key to using it effectively. In this episode of BackTable Cardiology, Dr. Hady Lichaa sits down with Dr. Allison Dupont to approach ECMO in a practical, clinically relevant way. They cover the fundamentals, including VV versus VA ECMO, circuit components, and key settings like flow, oxygenation, and CO2 removal.
Timestamps
00:00 - Introduction
03:19 - What Is ECMO
12:19 - Who Should Get ECMO
16:12 - ECPR Criteria and Triage
29:45 - Access Strategy
32:43 - Low Flow Troubleshooting
44:24 - Anticoagulation Protocols
48:21 - Chugging Volume Alarms
50:25 - Weaning Off ECMO
55:22 - Building An ECMO Program
Resources
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More about this episode
The conversation also dives into real-world application, including cannulation strategies, typical flow parameters, troubleshooting low flow, preventing limb ischemia, and managing anticoagulation. They explore advanced topics like LAVA-ECMO for valvular disease, ECPR protocols inspired by the ARREST Trial, and how to think about patient selection and “bridge” strategies. Dr. DuPont finishes with practical insights on weaning, LV unloading, bleeding management, and what it takes to successfully build an ECMO program with a multidisciplinary team.
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