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Podcast: Stay Current in Pediatric Surgery
Episode: Update Course Rewind: When & How to Operate CDH Patients on ECMO 2024, Pt.2
Description: In this session from the 12th Annual Update Course in Pediatric Surgery, Drs. Rebecca Stark and Steven Lee from Seattle Children’s Hospital walk through the timing, technique, and evolving protocols for performing ECMO and surgical repair in cases of severe congenital diaphragmatic hernia (CDH).Key Highlights:VA ECMO with bivalirudin: The presenters advocate for bivalirudin as a preferred anticoagulant over heparin due to its short half-life, predictable response, and ease of control—making it ideal for ECMO patients requiring surgery.Dilute thrombin time for monitoring: They highlight a lab-friendly technique for monitoring bivalirudin using dilute thro...