Reducing dynamic driving pressure after VV #ECMO support initiation in adults: any impact on survival?? ELSO Registry study including > 9K patients:
🫁 hospital mortality significantly higher in patients exposed to DDP > 15 cm H2O
🫁 association of DDP > 15 cm H2O with hospital mortality robust in sensitivity analyses
#FOAMcc #FOAMecmo on @ICM
🖇️ https://rdcu.be/dkdR6

🚨 #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

🚨 Do NOT forget to join joint ESOT & EuroELSO webinar:
#ECMO as a bridge to lung #transplantation: enabling life in the face of death
🗓️ Today: July 13, 2023 18:00 PM CEST
Free open access #FOAMcc #FOAMecmo #ESOTcongress! Register at
🔗 go.esot.org/congress2023_webinar13jul

Extracorporeal cardiopulmonary resuscitation CTSNet & ASAIO Journal live event:
🫀 indications & technical pearls
🫀 infrastructure/building an #ECPR team
🫀 outcomes & optimization
🗓️ thursday, July 13 2 pm CT/9 pm CEST
#CTSNetLive #FOAMcc #FOAMecmo
Register for webinar!!
🖇️ https://bit.ly/3JthVM2

☢️ 🧠 Neurologic injury in children on #ECMO? Intra #ECLS CT reasonable modality to assess for significant brain damage when MRI is not feasible, and findings could be used to guide clinical decision-making. In this study, in patients who received CT & MRI within 15 days, CT had 100% PPV for significant neurologic injury. MRI improved identification of smaller ischemic lesions and micro-hemorrhages vs CT.
Open access #FOAMcc #FOAMecmo #PedsICU on ASAIO Journal
🖇️ https://rebrand.ly/5f6dbp7

RV dysfunction in patients with #ARDS receiving
VV #ECMO:
🫀 RV physiology, ventriculo-ventricular interaction, right ventricle-pulmonary interactions
🫀 RV dysfunction on #ECLS for ARDS
🫀 effect of ECMO on RV function
🫀 diagnosis of RV
dysfunction: #POCUS & PAC
🫀 care of patients
Open access #FOAMcc #FOAMecmo
🔓 https://rebrand.ly/rg3c0m6

🫁 Does tracheostomy improve outcomes in VV #ECMO? Read results of this study!
🖇️ rebrand.ly/0d794d

🫁 Coming with editorial: Question? Not when but who! awake, extubated ECMO reasonable goal for most patients; for those not tolerating extubation, tracheostomy safe (mild increase in bleeding risk). Moreover, there may be some benefit (LoS/recovery) with relatively early trach for patients unlikely to be weaned from #ECLS within 7-10 days
🖇️ rebrand.ly/n6corpp

All #FOAMcc #FOAMecmo on ASAIO Journal

🩸 Hematological impact of oxygenator/#ECLS circuit replacement in patients with severe respiratory failure on VV #ECMO
📈 greatest change from baseline to peak: plasma fHb & D-dimer:fibrinogen ratio (promising marker of circuit thrombosis/hyperfibrinolysis??)
📈 statistically significant changes in bilirubin, COHb, D-dimer, fibrinogen, PLTs
Progressively deranged markers normalize after circuit exchange, with associated reduction in ML resistance #FOAMcc #FOAMecmo
🔓 https://bit.ly/3M1arla

#EuroELSO2023 Impressions!! The opening ceremony & plenary sessions of the annual @EuroELSO congress are now available online, free open access #FOAMcc #FOAMecmo!!
🎥 opening ceremony
Plenary Sessions:
🎥 care for caregivers
🎥 #ethics in #ECMO
🎥 long-term view on #ECLS & closing ceremony with invitation to #EuroELSO2024 Bridging Europe in Kraków 🇵🇱 April 24-27 2024
🖇️ Enjoy! All at https://bit.ly/3NDlWjQ

VV #ECMO decannulation in the awake, spontaneously breathing patient: step by step guide to #ECLS decannulation, taking care to avoid air embolism.
Open access #FOAMcc #FOAMecmo
CTSnet winning submission for #ResidentVideoCompetition
🔓 bit.ly/42fPFn9

🦠 3 years after the onset of #pandemic, here an expert consensus on evolving role of VV #ECMO for #COVID19 related severe #ARDS:
📃 14 statements on patient selection, #ethics, and clinical, logistic & operational #ECLS management, to be used to guide providers during future pandemics.
Open access #FOAMcc #FOAMecmo #COVIDFOAM
🖇️ https://bit.ly/42eMxYz

Cerebral regional oxygen saturation in patients undergoing #ECPR, prospective multicentric observational study:
🧠 cerebral rSO2 measurements started minutes before ECPR initiation until three hours after
🧠 no significant differences in rSO2 values at baseline
🧠 mean cerebral rSO2 values in the first 30’ after #ECMO initiation higher in patients who regained consciousness
Open access #FOAMcc #FOAMecmo
🖇️ https://bit.ly/3KDtfoJ

#ECMO related complications? Do not end after weaning and decannulation: be aware, suspect, and carefully monitor the patient throughout the whole run.... and after! (#POCUS help!!) Open access #FOAMcc #FOAMecmo #echofirst on ASAIO Journal
🔓 https://bit.ly/43AeJa2

Thrombolysis for membrane lung thrombosis on #ECMO?? Additional data!
💉low-dose rtPA injection (2 doses/total 5 to 10 mg), into drainage section
🩸 no UFH stop
🩸 no bleeding complications within 5 days
✅ return to ML normal function
Any thought?
#FOAMcc #FOAMecmo
🔓 https://rdcu.be/c9Y35

Fibrin sheath(s) during & after an #ECMO run?
🩸 white appearing deposits on the ML
⚙️ high membrane lung internal resistances
🩸 severe, persistent (& unexplained) drainage insufficiency
What is going on?? Be suspicious and monitor for potential vascular complications also after decannulation...
Just out, open access #FOAMcc #FOAMecmo on ASAIO Journal
🔓 https://bit.ly/43AeJa2

PS take a look at supplementary video files, too!

Meeting abstracts of the 39th Annual Children’s National Symposium: #ECMO and the advanced therapies for cardiac and respiratory failure are now available, open access, in a special issue of ASAIO Journal #FOAMcc #FOAMecmo #PedsICU
🖇️ http://bit.ly/410R00p

Recording of the EuroELSO webinar, the #ECMO adverse events for pediatric clinical trials – ECMO Central, is now online at
🎥 http://bit.ly/40DMTr3

PS do not miss, in 2 days, next one on use of VA #ECMO in septic shock?? with Nicolas Bréchot moderated by Peter Schellongowski
🗓️ March 29 2023 - 16:00 CEST
Register now
🖋 http://bit.ly/40h4h5g

🎥 PPS all previous #EuroELSOwebinar are available, free open access #FOAMcc #FOAMecmo, at http://euroelso.net/webinars

Do you want to know more on the use of VA #ECMO in septic shock?? Do NOT miss next Euro ELSO webinar!!
🗓️ March 29 2023 - 16:00 CEST
🎙 speaker: Nicolas Bréchot
🎙 moderator: Peter Schellongowski
🖋 http://bit.ly/40h4h5g
Check your time zone & register now!
🎥 PS all previous EuroELSO webinars are available on demand, free open access at www.euroelso.net/webinars/ enjoy!
#EuroELSOwebinar #FOAMcc #FOAMecmo #PedsICU

Background image: ASAIO Journal ELSO guidelines for #ECLS circuit
📖 bit.ly/3AGpIQX

Setting & monitoring mechanical ventilation on VV #ECMO
➡️ historical perspective: ventilation strategies in landmark trials
➡️ targeting ultra‑lung‑protective MV
➡️ how to set optimal PEEP?
➡️ prone positioning during #ECLS
➡️ gas exchange targets
➡️ MV during ECMO weaning
MV during ECMO for ARDS should aim to reduce VILI by decreasing its intensity; pending new strong evidence, EOLIA trial MV settings are a reasonable option.
Open access #FOAMcc #FOAMecmo
🖇️ https://rdcu.be/c8bfJ

Additional #ECMO pump without membrane lung to achieve effective transseptal LA decompression with controlled flow in a patient on VA #ECLS after percutaneous coronary intervention with persistent LV systolic dysfunction, closed aortic AV & ongoing pulmonary edema. Open access case report #FOAMcc #FOAMecmo on ASAIO Journal
🖇️ http://bit.ly/401f43e