The plastic components of the bypass circuit can sequester varying amounts of intravenous anesthetic agents resulting in unpredictable effects and side effects
Volatile anaesthetics are not usually available on ECMO circuits due to the difficulties in scavenging
Since anesthetic agents can alter preload and afterload, should be ready for volume replacement and administration of vasoactive agents
Should inform the perfusionist before changing the height of the surgical table, as this can alter the venous return to the ECMO circuit ( passive gravity assisted drainage)