CASE DISCUSSION
Extracorporeal membrane oxygenation for Cardiogenic Shock
Presented from by Dr. Monalisa Mishra
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Case Description
Extracorporeal membrane oxygenation (ECMO) is a life-saving mechanical support technique used in patients with severe cardiogenic shock when conventional therapies fail. In cardiogenic shock, the heart is unable to pump sufficient blood to meet the body’s needs, leading to organ hypoperfusion....
Case Summary
- Cardiogenic shock is a severe form of acute heart failure characterized by pump failure despite adequate preload, leading to tissue hypoxia and organ dysfunction. Risk factors include advanced age, diabetes, peripheral vascular disease, prior cardiac surgery, and complex coronary artery disease. Causes can range from acute MI and myocarditis to arrhythmias, cardiac tamponade, and pulmonary embolism. Symptoms involve hemodynamic compromise (low blood pressure, cardiac index), end-organ dysfunction (altered mental status, oliguria), and elevated lactate, creatinine, and cardiac biomarkers.
Speaker Profile
Dr. Monalisa Mishra
Senior Consultant Critical Care Medicine Apollo Hospitals, KolkataDr. Monalisa Mishra is a Senior Consultant in Critical Care Medicine at Apollo Hospitals, Kolkata, where she brings extensive clinical expertise and leadership to the forefront of intensive care management. With years of hands-on experience in managing critically ill patients across a wide spectrum of medical emergencies, she plays a pivotal role in delivering evidence-based, multidisciplinary care in one of the city\'s most advanced tertiary care settings. Dr. Mishra specializes in the management of sepsis, multi-organ failure, complex ventilatory support, and post-operative intensive care, ensuring the highest standards of patient outcomes. Her approach combines clinical precision with compassionate care, making her a trusted name among peers and patients alike. Actively involved in clinical training and protocol development, she also contributes significantly to strengthening critical care systems and mentoring the next generation of healthcare professionals.