Landing Advance ECLS

Continous ECMO Monitoring

Thanks to the dedicated oxygenator side capnometer and arterial/venous probes connectable to any PTS, the Landing Advance monitor provides a continuous measurement of the ML (Membrane Lung) contribution, combined with hemoglobin level, oxygen venous saturation and oxygen arterial saturation.

Moreover, the Landing Advance ECMO monitor provides hemodynamics data about circulation through the ECMO system, with blood flow, pre-oxygenator pressure and post-oxygenator pressure. Of note, measurements include the drainage pressure, whose monitoring may be particularly useful to prevent hemolysis.

La soluzione per monitorare l'interazione complessa tra il polmone membrana e quello nativo

In ECMO Procedures, the delivery of O2 to the patient’s metabolism and the removal of CO2 depend on a complex interaction between the Membrane Lung (ML), the Native Lung (NL) and the metabolic-hemodynamic pattern of the patient. The continuous monitoring of those parameters is critical in the management of the patient.

Monitoring the Membrane Lung is essential to understand the level of performance of gas exchange; while the Native Lung function in both gas exchange and mechanical properties must be assessed to understand the possibility and timing of VV-ECMO weaning.

Monitoring the hemodynamic and metabolic parameters of patients (Cardiac Output, V’O2, V’CO2), is paramount to understand and achieve an equilibrium between the metabolic needs and the function of the artificial organ.
The ratio between Cardiac Output (CO) and extracorporeal Blood Flow (BF) is fundamental in understanding recirculation in the Membrane Lung and difficulties in obtaining satisfactory Blood Flow.

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