What should be done with ECMO for echocardiograms?

In the context of performing an echocardiogram on a patient on ECMO, decreasing the flow to 2 LPM is appropriate because it can improve the quality of the ultrasound images. When the ECMO flow is at a higher rate, the turbulence caused by the high flow can obscure echocardiographic views and make it challenging to assess cardiac function. Lowering the flow helps to reduce this turbulence and allows for clearer imaging, enabling accurate diagnostics.

Maintaining optimal flow during echocardiography is crucial for obtaining reliable cardiac assessments while ensuring patient safety and hemodynamic stability. Thus, adjusting the flow to a lower setting enhances the diagnostic utility of the echocardiogram without compromising the patient's overall condition.