⚔️ Thinking to beta‑blockers on VV #ECMO to manage refractory hypoxemia?? Be cautious (& do not forget physiology)!
🩸 O2 in arterial blood is conveyed to tissues by circulation
⚖️ reducing CO to increase EBF/CO ratio will increase SaO2 at cost of DO2 reduction, potentially worsening tissue hypoxia. Exclude CO driven by O2 demand
❄️💉 consider mild hypothermia + analgesia/sedation as first-line
🖥️ if using, monitor DO2/O2ER + lactate
Open access #FOAMcc #FOAMecmo on @Crit_Care
🔓https://t.co/B3jLdroPzM
@juandness @COFEPRIS Jajajaja wey... Que pedo.. Asumo que debe haber alguna regulación al respecto de hasta donde puedes meter mano sin un título de medicina