Program Director Message

Jim Davis

Kathryn Bilello, MD

Program Director

UCSF Diversity

UCSF Diversity Image

Extracorporeal Life Support (ECLS) or Extracorporeal Membrane Oxygenation (ECMO)

 

ECLS involves the artificial support of lung and/or heart function using a machine that oxygenates a patient’s blood outside the body and returns it using a pump, thus allowing the heart and lungs to rest. When a patient is connected to an ECLS circuit, blood flows through a series of tubes to an artificial lung that adds oxygen and takes out carbon dioxide. The blood is then returned to the body through the ECLS circuit using a specialized pump.

There are two types of ECLS: veno-arterial (VA) ECLS removes blood from a vein and returns it to an artery under high pressure to support the pumping function of a failing heart. During VA ECLS, oxygen can also be added to the blood to support lung function if needed.  Veno-venous (VV) ECLS or ECMO involves both removal and return of blood through the veins, usually near the heart, and is used to support lung function only.

ECLS devices have improved significantly over the last few decades and some devices are now light enough to be carried by one person and can be easily transported in an ambulance or helicopter, making it possible to transport patients while on ECLS.

ECMO is commonly used in the following situations:

  • Heart and/or lung failure despite usual medical therapy to allow heart and/or lung to recover.
  • As a bridge option to further treatment such as heart assist device or left ventricular assist device (LVAD)
  • As a bridge to heart or lung transplantation

The Community Regional Medical Center (CRMC) multidisciplinary ECLS team was created in affiliation with the University of California San Francisco-Fresno medical program (UCSF-Fresno) to provide this unique and highly specialized treatment to the central valley of California.

ECLS treatment has been available in the Central Valley. However, patients have the best outcomes when ECMO candidates are evaluated in a multidisciplinary team setting.  To better serve our patients in the Central Valley, we re-structured our ECLS team to provide a cohesive network of health care professionals from different disciplines. Thus, in August 2016 UCSF Fresno ECLS team was organized to include the following professionals.

  1. Medical and Surgical intensivists trained in in the use of ECLS
  2. Emergency medicine ECLS physicians
  3. Cardiovascular surgeons
  4. ECLS trained nurses
  5. Perfusionists
  6. Respiratory therapists
  7. Physical therapists
  8. Social workers
  9. Pharmacists
  10. Dieticians

The team approach has improved outcomes related to ECLS which are comparable with international average and standards. This team is the only dedicated ECLS team service in the central valley of California. We typically receive more than 70 ECMO referral annually. 

For Referral or more information please contact transfer center 24/7 at 559-459-7337

Community Regional Medical Center (CRMC)
2823 Fresno St, Fresno, CA 93721
Phone: (559) 459-6000


ECMO Medical Physicians

Eyad Almasri, MD

Associate Clinical Professor of Medicine

Timothy Evans, MD, PhD

Clinical Professor of Medicine
Director of Intensive Care Units

Mohammed Fayed, MD

Mohamed A Fayed, MD

Assistant Clinical Professor of Medicine


ECMO Cardiothoracic Surgeons

Shamsuddin Khwaja, MD

Shamsuddin Khwaja, MD

Ramesh Pamula, MD

Ramesh Pamula, MD

Robert Stewart MD

Robert Stewart MD

 

 

 

 

 

 

 


 

 

 

 

 

 

 

Perfusionists

Aaron Schreur, CCP

Aaron Schreur, CCP

Thnah Huynh, CCP

Thnah Huynh, CCP

Stuart Pitts, CCP

Stuart Pitts, CCP

John Fraser, CCP

John Fraser, CCP

Jeegna Patel, CCP

Jeegna Patel, CCP

Nick Palladino, CCP

Nick Palladino, CCP

Joe Heaton, CCP

Joe Heaton, CCP

Cartrell Cross, CCP

Cartrell Cross, CCP

Michael Hocker, CCP

Michael Hocker, CCP

Andy Pauley, CCP

Andy Pauley, CCP

 

 

 

 

 

 

 

 

 

 

 

 

 


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ECMO Leadership Nurses

Kimberly Pope RN, MSN Director Critical Care Services

Kimberly Pope RN, MSN Director Critical Care Services

Catrina Cullen, RN, BSN, CCRN ICU Clinical Educator

Catrina Cullen, RN, BSN, CCRN ICU Clinical Educator

Seth Durant Interim Manager CVU RN-CCRN-CMC-CSC

Seth Durant Interim Manager CVU RN-CCRN-CMC-CSC

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


 

ECMO Leadership Respiratory Therapists

Wade Veneman, RRT

Wade Veneman, RRT Clinical Educator – Respiratory Care Services CRMC

Darin Craft, RRT

Darin Craft, RRT Clinical Educator, Respiratory Care Services

 

 

 

 

 

 

 

 


ECMO Physical Therapist

John Jarman, Physical Therapist II

John Jarman, Physical Therapist II