ECMO use right arterial line to rule out north south syndrome


  • NS syndrome: blood going to brain is less oxygenated than blood going to distal peripheral
  • ECMO can have deoxygenated blood from heart mixing with oxygenated blood returning from machine. There is usually a watershed area with little oxygen. Check bilateral ABG for difference in oxyenation 1
  • You can use VAV ECMO to help with hypoxemia
  • put pulse ox on right hand or use right ABG because the right side will have least amount of good O22

Footnotes

  1. NCTS lecture 11 2026 ↩

  2. 2025-08-07 critical care fellow lecture MCS ↩