Transfusion of red blood cells in VA #ECMO, international mixed-method study
🩸 large majority of pts received RBC transfusion
🩸 sum of RBC transfusions increases rapidly after initiation, depending on Hb threshold applied
🩸 amount of daily administered RBC highest in the first days
🩸 lower Hb prior to #ECLS, longer run, hemorrhage associated with probability of being transfused
🩸 no differences in overall survival between transfusion status or different regimens
🔓 https://bit.ly/44EmBGF

⏳ - 21 days to #ELSO2023!! Let's go into program details...
🔍 DAY 2 - Saturday, September 30 early afternoon, 4 parallel sessions are waiting for you! Choose among
📊 trailblazers, trials & tribulations: what's happening in ECMO?
⚙️ leveraging technology to innovate in ECLS education & care
🩸 it's what we DO2: optimizing tissue perfusion in #ECLS
🫁 pulmonary hypertension in #ECMO
📎 https://bit.ly/ELSO2023
🗺️ Seattle, WA
🗓️ pre-conference: Sep 28
🗓️ conference - Sept 29-Oct 1, 2023

High mortality in cardiogenic shock despite extracorporeal life support (#ECLS): New trial led by @thiele_holger shows no survival benefit and more complications for patients.
https://news.idw-online.de/2023/08/30/high-mortality-in-cardiogenic-shock-despite-extracorporeal-life-support-ecls

High mortality in cardiogenic shock despite extracorporeal life support (#ECLS): New trial led by @thiele_holger shows no survival benefit and more complications for patients.
https://nachrichten.idw-online.de/2023/08/30/high-mortality-in-cardiogenic-shock-despite-extracorporeal-life-support-ecls

⏳ - 30 days to #ELSO2023!! Let's go into program details...
🔍 DAY 1 - Friday, September 29 afternoon, 4 parallel sessions are waiting for you! Choose among
🍼🫁 pediatric respiratory #ECMO: from cannulation to management & beyond #PedsICU
🫀 special topics in peripheral VA #ECLS
🛏️ contemporary approaches in bedside management
🏥 if you build it: ECMO access, expansion & center coordination
📎 https://bit.ly/ELSO2023
🗺️ Seattle, WA
🗓️ pre-conference - Sep 28
🗓️ conference - Sept 29-Oct 1, 2023

The August 2023 ELSO newsletter is out:
📫 Message from President, Graeme MacLaren
🛏 Bedside with Dr Bartlett: 70 y old man with end-stage lung disease due to #COPD requiring #ECCO2R... but you do not have the device: what do you do?
📃 News from ELSO Committees
🎓 ELSO Academy #ECMO education & training opportunities
📦 #ECMO equipment Updates
📚 Research opportunities
🌏 #ECLS around the world, updates from ELSO Chapters
🗓 Upcoming ELSO & ELSO Chapters meetings
📌 CEO remarks
& more! bit.ly/2IR8RCl

⏳ - 35 days to #ELSO2023!! Let's go into program details...
🔍 DAY 1 - Sep 29 early afternoon, 4 parallel sessions are waiting for you! Choose among
⚖️ ethical challenges in #ECLS
🫀 post-cardiotomy #ECMO in neonates & children #PedsICU
🧮 1:1 or 1:What? Creating standards & opportunities in staffing, credentialing, and education
🚩 surgical challenges & conundrums
📎 https://bit.ly/ELSO2023
🗺️ Seattle, WA
🗓️ pre-conference: #ECMO management & physiology - Sep 28
🗓️ conference - Sept 29-Oct 1

The interaction of thrombocytopenia, hemorrhage, platelet transfusion in VA #ECMO: in this multicenter observational study occurrence of thrombocytopenia considerably higher than currently recognized!
🏥 >400 pts included; during #ECLS almost all pts developed thrombocytopenia
🩸 45% developed severe thrombocytopenia, important factor for PLT transfusion, also if no bleeding
🩸 1 or more PLT transfusions administered in 54%
🩸 49% suffered hemorrhagic event
Open #FOAMcc
🔓 https://rdcu.be/dkgf3

🧠 Regional oxygen saturation trends from cerebral NIRS & acute brain injury in VA #ECMO: according to the results of this study, greater mean rSO2 asymmetry & longer duration of cerebral desaturation associated with ABI in adults VA #ECLS.
-> mean rSO2 asymmetry >8% significantly associated with ABI
-> 10 consecutive h of >10% asymmetry & <40% rSO2 significantly associated with ABI
Closely following cNIRS trends may allow early interventions in this population.
🖇️ https://bit.ly/45AsR3g

⏳ - 40 days to #ELSO2023!! Let's go into program details...
🔍 DAY 1 - Friday, September 29 morning, 4 parallel sessions are waiting for you! Choose among
🫁 lung protection during #ECLS: best of lung rest
🫀 temporary #MCS: one size does not fit all
💪🏼 ECMOtion: mobility & #ICUrehab in #ECMO patient
📊 the ELSO Registry: bridging quality, research, regulation across the globe
Full agenda & all info at
📎 https://bit.ly/ELSO2023
🗺️ Seattle, WA
🗓️ pre-conference: Sep 28
🗓️ conference - Sept 29-Oct 1

Physical, emotional, cognitive recovery after VA #ECMO: systematic review revealing limited data on occurrence & trajectory of post-intensive care syndrome among survivors of #ECLS, at high risk for developing long term deficits associated with PICS, with poorly understood consequences. It is mandatory to look beyond survival, understanding burden
of survivorship, to optimize recovery after life-saving interventions. #ICUrehab
📖 https://bit.ly/3qv9VEf
With editorial
📖 https://bit.ly/3QLgRro

🆕 What’s new in neonatal & pediatric #ECMO?? Insights from #EuroELSO2023! The last 2 years (2022 + beginning of 2023) have been particularly fruitful for #ECLS research in children: from pediatric #ARDS to cardiac support and #ECPR, from circuit technology to anticoagulation, but also end-of-life. This manuscript summarizes main achievements.
🖇️ https://rebrand.ly/qoef7t5

🚨 #ECLS in thoracic emergencies, narrative review of current evidence:
📄 description & classification of thoracic emergencies
🫁 mediastinal mass
🫁 tracheobronchial emergencies
🫁 chest trauma & parenchymal injuries
🩸 thoracic penetrating injuries & hemorrhagic shock
🩸 aortic injuries
🫁 blunt thoracic trauma
🫀 cardiac trauma & traumatic cardiac arrest
💣 combat injuries
🔥 burn injuries
✅ benefits of #ECMO in #trauma
‼️ limitations of ECLS in trauma
#FOAMecmo
jtd.amegroups.org/article/view/74016/html

#ECLS for cardiogenic shock in congenital heart disease in adults presenting with cardiogenic shock: ELSO Registry Analysis from 2009 to 2021
🫀 >500 patients included, variable complexity of anatomy,
🫀overall mortality 58.3% but tilization of VA #ECMO for CS in ACHD patients increased over time with trend toward improvement in survival to discharge
Full results on ASAIO Journal
🖇️ https://bit.ly/3QoRMCu

📢 Join the ELSO #ECMO Patients & Families WhatsApp Community!! ELSO is excited to offer a means for our community to engage in a user-friendly manner with each other through WA. Please join those that are of interest to you! (to date) available communities:
💬 Patients & Families - Just added!
+
💬 Procedures & ECMO
💬 ECMO Directors
💬 ECMO Equipment
💬 new #ECLS program
💬 adult cardiac
💬 adult respiratory
💬 ELSO coordinators
💬 ELSO platinum mentors
💬 neo/peds #ECMO
🔗 Join! https://bit.ly/ELSOwa

🫀🫁 Weaning from of V‑AV #ECMO?? How to assess readiness for decannulation of both VV & VA components? Here, novel rapid approach using off-sweep + controlled backflow test, to allow for prompt/complete removal of #ECLS, which could be appropriate for highly selected patients with simultaneous/full recovery of respiratory & circulatory failure. Any thought?
🖇️ https://rdcu.be/difeR

🧫 Antimicrobial stewardship challenges in #ECMO? #ECLS patients present 3 unique key characteristics:
🗝️ indwelling cannulae
🗝️ #extracorporeal circuit
🗝️ higher severity-of-illness
An ECMO bundle focusing on cannula insertion/maintenance, minimizing circuit breaks, reducing other indwelling devices, shortening run duration could be part of a core strategy to minimize nosocomial infections in this population.
🖇️ https://bit.ly/44NRoBQ

🖌 Do NOT forget to register now for #ELSO2023, 34th ELSO annual conference!! We look forward to seeing everyone in Seattle, to share updates on #ECMO, respiratory failure, #ARDS, circulatory failure, #ECPR, #MCS, artificial intelligence in #ECLS, research funding, debates and much more...
🗺️ Seattle, WA
All the info at
📎 https://bit.ly/ELSO2023

Ventilation settings in children on #ECMO for P-#ARDS? Variable among centers! However, higher odds of mortality if during #ECLS:
🫁 high PEEP levels & driving pressure above 15 cmH2O: tight control to limit DP during run seems to be associated with better survival rate
🫁 native lung FiO2 above 60% on D14 of ECMO: seems to be essential to early decrease FiO2 once EBF allows an efficient oxygenation
Free to read #FOAMcc
🖇️ https://rdcu.be/dhPo2

VV #ECMO: primary modality in selected children with #ARDS & cardiovascular instability? #ECLS initiation associated with immediate & sustained reduction in vasoactive-inotropic score over first 24 hours. VIS decrease associated with lower mean airway pressure + improved respiratory/metabolic acidosis & improved systemic oxygenation. #PedsICU
🖇️ https://bit.ly/3Dp6K3D