I thought this came out quite well!

youtu.be/kCtEce87GTk?si…

Abstract submitted to EuroELSO, should hopefully encourage some healthy debate on ideal pathways. Not too many spoilers but very good outcomes in 33 patients despite high ISSs and mobile ecmo initiation. Always worth referring major trauma cases even with TBI/multisystem trauma

🫁 Esophageal pressure, validated bedside tool that can be used to optimize controlled & assisted mechanical ventilation setting, adapting it to each patient’s unique respiratory system characteristics. Editorial #FOAMcc on Intensive Care Medicine
🔓rdcu.be/dEyZ0

Looking for alternative venous access sites for dual-lumen #ECMO cannulae?? Take a look at this! Single site DLC VV #ECLS as BTT or BTR could be safe & feasible if inaccessible RIJV through LIJV, R/LSV, R/LFV. No procedural complications reported during cannulation. #FOAMcc

Head-to-toe bedside #ultrasound for adults on #ECMO 🔓 rdcu.be/dEpOA
🫀🫁 prior to ECMO initiation: echocardiography, indications-contraindications + choice of configuration, pre-cannulation findings, LUS
🚨 #POCUS during #ECPR
🖥️ procedural guidance: vascular access

📢 Join at 34th Specialist Education in #ECMO conference 2024:
🏆 Top Gun Competition
🫀🫁 Heart & Lung Lab
Save the date(s)
🗓️ June 1-2 #SEECMO2024
🗓️ May 31 2nd UCLA ECMO symposium
🗺️ Marina del Rey, CA
🖥️ Virtual option available!!
🔗 bit.ly/4bYQGpx

NO into gas flow to ML in #ECMO
🔍 single center study including children managed in pediatric cardiac #ICU
Addition of NO appears safe!
🩸no significant methemoglobinemia reported
🩸no significant bleeding events requiring discontinuation
#PedsICU
🖇️ bit.ly/3xtPJWn

🫀Routine use of microaxial flow pump vs standard care alone in STEMI-related cardiogenic shock led to lower risk of death. Results of DanGer Shock RCT:
🔍 355 pts included in final analysis
🪦 death from any cause 45.8% in #MCS group vs 58.5% in standard-care group
⚠️ incidence

🫀🧸🚨 Pediatric #ECPR Masterclass: immersive, high-fidelity, fun #simulation learning from international faculty to acquire basic knowledge/multidisciplinary competencies in managing children in CA
April 24 1️⃣ 13-15 2️⃣ 15:30-18
#EuroELSO2024 🇵🇱 Krakow
💻 euroelso-congress.com

🚨 Registration & abstract submission are OPEN for #ELSO2024 , 35th ELSO annual conference!!
🗓️ pre-conference activity - Sep 28 (separate registration required)
🗓️ conference Sep 29 - Oct 1
🗺️ Detroit, MI
🗓️ Special ELSO event - Oct 2
🗺️ Ann Arbor, MI
📎 bit.ly/ELSO2024

DON'T miss today #EuroELSOwebinar on infections in #ECLS moderated by Peter Schellongowski💜
🎙️ impact & definitions, Jordi Riera
🎙️ microbiological findings, prevention & treatment, M Hernandez-Meneses
🎙️ interactive clinical case, S Thomas
#FOAMcc register!
🔓 euroelso.net/webinars/

The title says it all. Hope this helps ID clinicians and anyone else with an interest in infectious complications of #ECMO M Velia Antonini Jordi Riera Joseph Marcus Adi Giles Peek academic.oup.com/cid/article/do…

🔍 Volume displacement pulsatile VA #ECMO : study investigating novel pressure-sensitive #ECLS device. This preclinical experiment demonstrated surplus hemodynamic energy production/left ventricular unloading vs continuous-flow pump
#FOAMcc asaiojournal
🔓 bit.ly/3TFTfEp

The ELSO is seeking nominations!!
📌 Steering Committee, 3 Year Terms, Jan 1 2025 - Dec 31, 2027:
🎓 Education Committee Chair
📃 Publication Committee Chair
⚙️ Innovation & Technology Committee Chair
🔗 Coordinator Liaison
🫁 RT Liaison
🗓️ Deadline May 1, 2024.
Details below

Physiologic effects of #ECMO in severe #ARDS : study aimed at describing hemodynamic & pulmonary vascular impact of different SvO2
🩸low 70-75%
🩸intermediate 75-80%
🩸high >80%
induced by 3 different levels of EBF in pts receiving #ECLS & controlled MV.
🖇️ bit.ly/49grVlX

📢 -1 month to #EuroELSO2024
🗓 April 24-27 🇵🇱 Krakow
Register now euroelso-congress.com & doN'T miss sponsored sessions
🗓 April 5
CARL: Recent #ECPR progress
Medtronic: Optimizing #ECLS , dual lumen cannulation & ML longevity
Getinge: Should early #ECMO be used in CS?
🧵1/2🪡

Lactate & survival in #ECPR CA from 3 🇩🇪 & 4 🇩🇰 centers, 2011-2021 included
Lactate easily accessible/quickly available POCT which might be considered as early prognostic marker when considering initiation or continuation of #ECLS in this population.
🔓 bit.ly/3TNxx2u

PaO2 & mortality in neonates in #ECMO , analysis of ELSO Registry:
🔍 24.5% had hypoxia (⬆️if VV)
🔍 40.5% had hyperoxia (⬆️ if VA/VAV)
🔍 PaO2 at 24h significantly higher if VA/VAV
🪦 early hypoxia (PaO2 < 60 mmHg) & moderate hyperoxia (PaO2 201-300 mmHg) after initiation

🫀 VA #ECMO for acute myocardial infarction-related CS?? To
🩸 ⬆️ aortic blood flow/pressure to try to reverse end-organ hypoperfusion & stabilize hemodynamics
💉 ⬇️ dependence on potentially harmful inotropes/vasopressors
⏱️ buy time for intervention
but does #ECLS improve

#PedsICU #PedsCICU #ECMO #ECLS ELSO