Page 14 - 2016 Nursing Annual Report | Summa Health
P. 14

Exemplary Professional
Practice

Treatment offers patients
a chance at survival

When a patient comes to Summa Health suffering from extreme
respiratory distress and the outcome is dire, extracorporeal membrane
oxygenation, or ECMO, treatment gives them a chance to survive.

Summa Health introduced ECMO in 2015 and it has saved         The VA ECMO treatment helped save the life of Shannon
dozens of lives. The ECMO machine is similar to the           Sansom of Mogadore. The 40 year old was at home when
heart-lung by-pass machine used in open-heart surgery.        she suffered a massive heart attack. EMS crews rushed
It pumps and oxygenates a patient’s blood outside the         her to the Summa Health – Akron Campus Emergency
body, allowing the heart and lungs to rest. When you are      Department where teams of doctors and nurses were
connected to ECMO, blood flows through tubing to an           waiting.
artificial lung in the machine that adds oxygen and takes
out carbon dioxide; then the blood is warmed to body          “She was taken to the Cath Lab and kept crashing,” said
temperature and pumped back into your body.                   Elizabeth Protain, BSN, RN, CCRN, Unit Director, The
                                                              Heart Lung Unit/CCU/ECMO Program Coordinator.
There are two types of ECMO. The VA ECMO is connected         “They called in the cardiothoracic surgeon to find a way
to both a vein and an artery and is used when there are       to give her time to rest and recover. She was put on ECMO
problems with both the heart and lungs. The VV ECMO is        to help support her heart and lungs and bridge her into
connected to one or more veins, usually near the heart,       surgery. Her story is truly an ECMO success.”
and is used when the problem is only in the lungs. It is the
more commonly used of the two at Summa Health.                Doctors told Sansom’s family that she had a less than
                                                              1 percent chance of survival. But, she beat those
                                                              overwhelming odds with the help of incredible nursing
                                                              staff.

                                                              “She came in through the ED as a full arrest, so you have
                                                              nurses who stabilized her there. Then she went to the
                                                              cath lab and you have those procedure nurses who were
                                                              working diligently to keep her alive. When they called the
                                                              code, the clinical nurse specialists from critical care and
                                                              myself we went down and we helped support the process
                                                              when we knew she was going on ECMO, plus the OR
                                                              nurses,” said Protain. “But, it was those bedside nurses
                                                              when we got her into a room that took care of her 24/7.”

                                                              Protain said initially it took three of Sansom’s four
                                                              nurses to keep up with her blood products, medication
                                                              administration and management of her post-op bleeding.

Elizabeth Protain, BSN, RN, CCRN with the ECMO machine        “I can remember saying we need to get her husband
                                                              and her children in here because she was in such critical
                                                              condition, but how do you see her in this state? We just
                                                              put blankets over everything with my hands underneath
                                                              just to get them in to see her.

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