🎥 Latest #EuroELSOwebinar: ECLS in accidental hypothermia is now available! 🧊 pathophysiology of hypothermic cardiac arrest ⚖️ HOPE Score: which hypothermic pts in CA would benefit from #ECMO rewarming 🫀 eligibility Criteria for #ECPR in hypothermic CA Open access 🎥 youtube.com/watch?v=_PwZ_2wrf8Y

#ECMO post acute type A aortic dissection repair 🔍 SR/MA 🪦 weaning 48.3%, but high in-hospital mortality 72%; late mortality 5.8% per 100 person-y 🫘 AKI requiring CRRT 60.5% 🧠 neuro complications as consequence of stroke 24% 🦵🏻 limb ischemia 7.6% 🩸 bleeding requiring reoperation 29% 🔗 bit.ly/4osNasw

📘 The Blue Book: the latest edition of the ELSO #ECMO Specialist Training Manual is NOW available in the ELSO online bookstore! 🛒 bit.ly/ELSObooks

📖 Cardiac physiology: let's open Blue Book and take a look at Chapter 3: 🩸 oxygen delivery 🫀 cardiovascular physiology during VV #ECMO 🫁 cardiovascular physiology during VA #ECMO 🫀 CO estimation 🫁 🫀 physiologic approaches to hybrid modes 🫀 single-ventricle physiology Available at 🛒 bit.ly/ELSObooks

🎥 #ECMO for respiratory failure: breakout session moderated by Cara Agerstrand & Eddy Fan, from day 1 of #ELSO2025, the 36th @theelso.bsky.social Annual Conference

🎥 #ECMO for respiratory failure: from day 1 of #ELSO2025: 🫁 beyond EOLIA: new populations & personalized ventilation 🫁 oxy-RVAD VP versus VV ECMO 🫁 VV ECMO to de-sedate, extubate & mobilize in hypoxic resp failure 🫁 VV #ECLS for severe asthma Register as virtual attendee 🔗 bit.ly/ELSO2025virtual

Antithrombin in #ECMO? AT monitoring/supplementation when using heparin anticoagulation has strong pharmacologic rationale... but any differences in mortality or hemostatic outcomes? 🩸 systematic review with meta-analysis 🔗 bit.ly/4pmRz0L

Antithrombin in #ECMO: 🔍 SR/MA to evaluate safety & efficacy of AT; 11 studies (mostly observational) included 🩸 AT supplementation resulted in no difference in bleeding & thrombotic events, or mortality ⚖️ pediatric patients receiving AT more likely to experience thrombotic event 🔗 bit.ly/4pmRz0L

Few will ever have the impact that Dr. Bartlett has had. 🔭 He had the ability to see something in you that you didn't see yourself "Ten years from now grateful patients will be alive because of the research we are doing. they won't know how or why it happened without complications... but you will."

Honoring the Life and Legacy of Dr. Robert H. Bartlett - Grand Rounds today at the Department of Cardiac Surgery of Michigan Medicine, with James Mault, Jennifer C. Romano, Kristopher Barrett Deatrick, Alvaro Rojas-Peña, celebrating their and our mentor.

Neurological complications during VA #ECMO 🫀 >700 adults on VA #ECLS (no #ECPR) in 30 🇦🇺 🇳🇿 ICUs 🔍 69.3% died or had new disability at 6 months 🧠 neurologic complications 12%; these increased risk of death & disability + led commonly to discontinuation due to perceived poor prognosis 🔗 bit.ly/4r2FJul

Save the date 🖌️ for a celebration of the life and career of RH Bartlett, by Michigan Medicine and ELSO at Hill Auditorium 🎶 Jan 25: performance by Life Sciences Orchestra 👏 Jan 26: celebration/tributes 🥁 evening, Jan 26: Performance by @umich.edu Marching Band and Men’s Glee Club Details to come!

📢 #ECLS in accidental hypothermia #EuroELSOwebinar 🧊 introduction ❄️ pathophysiology of hypothermic cardiac arrest 🫀 eligibility Criteria for #ECPR in hypothermic CA ⚖️ HOPE Score ... 🎙 & lot of discussion 🗓️ November 24 2025, 16:00-17:10 CET Save the date & register! 🖋 www.euroelso.net/webinars/

📖 Respiratory physiology and gas exchange: Blue Book - Chapter 2 🫁 native gas exchange 💨 oxygenation 🩸 O2 content & Hb 🩸 DO2 and VO2 💨 CO2 ⚙️ physiology of #ECLS 🩸 DO2 and CO2 removal in ECLS 📘 In the ELSO #ECMO Specialist Training Manual 5th ed 🛒 bit.ly/ELSObooks

Ultra-low-field portable MRI on #ECMO in #PedsICU?? Timely/accurate ABI diagnosis first step to providing appropriate neurocritical care/improvr neuro-outcome. pMRI feasible with less resource use, less interruptions of therapies, no risks associated w transport/radiation exposure. 🔓 bit.ly/3LOxP7H

Ultra-low-field portable MRI during #ECMO 🧠 16 neonates/peds had pMRI (0.064 Tesla) attempted, 11 completed full imaging ☢️ median staff required = 6 ☢️ median pMRI positioning + imaging time 66' 🚧 no relevant complications/safety events 🖥️ image quality adequate in majority 🔓 bit.ly/3LOxP7H

🎥 Learning from tough cases at virtual #ELSO2025! ⚖️ #ECLS, ethics, end-of-life in a resource limited scenario ⚙️ Troubleshoot misbehaving circuit 🫀 VA #ECMO in severe AR 🫀Temporary #MCS ⚖️ Pediatric pt with capacity: who should make decisions? 🔗 bit.ly/ELSO2025virtual 🔗 elso2025.teneventsmedia.com

#ECPR in trauma patients with CA 🔍 ELSO Registry analysis 🚑 17.9% received #ECMO because of traumatic CA, ⅓ #OHCA. Survival 29.2% 🚑 82.1% because of CA of medical etiology; survival 37.3% ECPR may result in higher-than-expected survival, evenmin patients with traumatic CA. #FOAMcc 🔓 bit.ly/3LtxJCz

Take a look at the ⚠️ Panic Button section of the ELSO's #ECMO Bedside Guide 🩸 accidental decannulation 🫧🫧 air in the circuit 🩸blood out of the circuit 🫀cardiac arrest ⛔️ NO flow 🚨 coming off #ECLS emergently The app is free open access Apple 📱 bit.ly/ELSOBedsideG... Android 📱 bit.ly/ELSOBedsideG...

VV multisite #ECMO in neonates & smaller children <15 kg with severe resp failure 🔪 surgical VV cannulation associated with greater risk of thrombosis at vessel sites vs percutaneous technique; no significant at 1y. Potential confounder: surgical group younger + smaller weight 🔓 bit.ly/4nNZxz0

#ECMO cannulation Workshop ongoing in Ann Arbor, MI! This ELSO hands-on event is aimed to learn how to perform percutaneous VV & VA #ECLS cannulation with a team of international experts, training on realistic #simulation models! 📫 [email protected]

📰 @nytimes.com celebrates life & work Dr Bartlett: Robert H Bartlett, father of innovative life-support system, dies at 86. He developed extracorporeal membrane oxygenation, or #ECMO, a treatment that can sustain patients whose hearts and lungs are failing, for days, weeks or longer 🖇️ bit.ly/4qKFt3b

📦📦 Wrapping up an amazing week in Ann Arbor with 2️⃣ Adult #ECMO #simulation course: a total of 5️⃣8️⃣ learners strong! Huge thanks to our dedicated faculty & enthusiastic learners for making courses both educational and fun ‼️ Next sessions 🗓️ April 14-15 & 16-17 2026 📍 Ann Arbor MI 🎓 bit.ly/ELSOAcademy

#ECMO in liver #transplantation: 🔍 @mayoclinic.org experience, largest 🇺🇸 series to date 🩺 overall survival suboptimal: 33.3%; all pts discharged from hospital were alive at 1 y 🚧 significant complications: #AKI requiring CRRT (40%), neuro-complications (40%), bleeding 🔗 bit.ly/4hLZmm7

Tilt bed for mobilization on #ECMO?? Seems safe & effective strategy to facilitate #ICUrehab! These beds may provide reasonable alternative or additive therapy to out-of-bed mobility, particularly among centers that lack staffing or experience to safely coordinate ambulation. 🔗 bit.ly/4hKcJ6x

📘 The Blue Book: the latest edition of ELSO ECMO Specialist Training Manual is NOW available 🛒 bit.ly/ELSObooks 📖 Let's open the book and start with Dedication, with immense gratitude and affection, to Robert & Wanda Bartlett. Dr Bartlett wrote Foreword of Blue Book.

Upcoming one: ❄️ ECLS in accidental hypothermia 🗓️ November 24 2025, 16:00-17:10 CET Register now! 🖋 www.euroelso.net/webinars/ 🎥 PS all previous EuroELSO webinars are available on demand 🔓 bit.ly/EuroELSOyout...

🎥 Replay of #EuroELSOwebinar: Post-Cardiotomy #ECL is now available open access enjoy! #FOAMcc #FOAMecmo ⚖️ Indications, timing and settings 🫀 Unloading, hybrid configurations & difficult cases 🖥️ Joint #ICU management: monitoring, anticoagulation, ventilation 🩺 Case 🎥 youtube.com/watch?v=AlHJ1f026AM

🎥 How to operationalize practice standards complicated by #ECMO at virtual #ELSO2025 🫘 integrating #RRT into circuit 💪🏼 designing/implementing early mobility protocol for #ECLS #ICUrehab 🫁 oxygenation riddles Register 🔗 bit.ly/ELSO2025virt... If you joined in Washington 🔗 elso2025.teneventsmedia.com

📢 The ELSO newsletter is out! 🖋️ Message from President, D Brodie ◼️ In memoriam - Dr Bartlett 1939-2025 🛏 Reflections from inaugural RH Bartlett lecture by G Annich 📃 News from ELSO Committees 🎓 Report for Global Education Committee GEC retreat 🌏 Updates from ELSO Chapters & more! 🔗 bit.ly/2IR8RCl

#ECMO for severe CCB toxicity? #ECLS provides potentially lifesaving intervention for pts unresponsive to medical therapy. Outcomes most favourable without pre ECMO CA & with preserved pH. Early identification, rapid cannulation, avoidance of #ECPR may be critical for success. 🔗 bit.ly/48PYtGW

#ECMO for severe calcium channel blocker intoxication in patient with cardiogenic shock/circulatory collapse: 🔍 analysis of the Extracorporeal Life Support Organization Registry, 2015 -2023 🔎 157 patients with CCB toxicity, overall survival higher in pediatric patients vs adults 🔗 bit.ly/48PYtGW

Take a look at the 💉 Medication section of the ELSO's #ECMO Bedside Guide: 🩸anticoagulants 🩸 blood products 🩸 hemostatic agents 🌸 opioids 🛌 sedatives Open access app, to be useful to everyone with interest in #ECLS. Apple store 📱 bit.ly/ELSOBedsideG... Google Play (Android) 📱 bit.ly/ELSOBedsideG...

🪑 We have (really really) few open spots for one of the upcoming sessions of the Adult #ECMO #simulation course! 🛠️ hands on learning 🚧 troubleshooting cases 🫀🫁 scenarios on VA & VV #ECLS 🗓️ Nov 4-5 2025 📍Ann Arbor MI 🎓 bit.ly/ELSOAcademy 📬 [email protected] 📸 Below pics from latest editions!

Dear ELSO Community, thank you for all the fond memories and support regarding Dr. Bartlett. His wishes are to gather friends in a few months' time on his behalf. The planning for this memorial is under way and we expect to have a date identified soon. More information to come soon.

🧵 2/2 #ECMO may be reasonable 🐝 in refractory anaphylaxis 🫁 life-threatening refractory asthma 🫀 in cath-lab or after cardiac surgery if failing cCPR 🫁 if CA from confirmed/suspected PE or peripartum amniotic fluid embolism 🧊 in life-threatening hypothermia ☠️ in poisonings 🔓 bit.ly/3LeVAWd

Adult & pediatric special circumstances of #resuscitation: 2025 @americanheart.bsky.social guidelines are are out! While #ECMO is not available in every setting, may be considered for adults & children in CA or peri-arrest state with potentially reversible etiology 🔓 bit.ly/3LeVAWd See thread 🧵🪡 1/2

🎥 #ICU Rounds With Dr. Mason & Team: Bindu Akkanti, Desiree Bonadonna, Max Hockstein, Lauren Igneri, Phil Mason, and John Stokes. Interested in this interesting session?? Register for virtual #ELSO2025!! 🔗 bit.ly/ELSO2025virtual If you joined in Washington visit: 🔗 elso2025.teneventsmedia.com

The ELSO 2025 narrative guideline on use of #ECMO for accidental hypothermia 🔗 preparation and organization 🧊 patient selection & indications for ECLS ⚖️# ECMO mode/technical considerations 🩺 patient + circuit management during ECLS 🚧 complications 🪽 weaning 🔍 outcome & follow up 🔓 bit.ly/475GUkR

◾️In Memoriam of Robert H. Bartlett, MD 1939-2025 ◾️ Without Dr. Bartlett, there is no ECMO: he saved more than 100,000 patients through his life’s work. He changed the world. He will forever be the Father of ECMO. Vale, Dr B 🔗 elso.org/ecmo-resources/drbartlett.aspx 🎥 youtube.com/watch?v=4sfPgPIQ49s

🎥 Do you want to know more about #ECMO anatomy & physiology? Look at virtual #ELSO202 session 🔪 dissecting #ECLS Circuit ⚙️ pump and pathway 🔍 evolving circuit design Register at 🔗 bit.ly/ELSO2025virtual If you joined in Washington visit 🔗 elso2025.teneventsmedia.com 🎓 CME/CEU for MD/RN/Pharm

🧠 Left Ventricular venting associated with increased risk of ABI (hypoxic-ischemic brain injury, ischemic stroke, intracranial hemorrhage) in pts w CS in peripheral VA #ECMO 🪦 similar mortality: unmeasured survival benefit of venting? @critcaremed.bsky.social 🖇️ bit.ly/4hng6QK

LV venting and brain injury in peripheral VA #ECMO 🔍 ELSO Registry analysis (>13K adults w CS) 🫀 LV venting 11% 🧠 LV venting associated with increased risk of ABI 🪦 similar mortality between LV vented/non-vented patients 🫀 no difference in ABI or mortality if IABP vs mAFP 🖇️ bit.ly/4hng6QK

Take a look at the 📦 Equipment section of the ELSO's #ECMO Bedside Guide: 💉 cannulas 💨 membrane lungs ⚙️ pumps 🌡️ temperature regulation This essential, free open access app to support management of patients receiving #ECLS Apple 📱 bit.ly/ELSOBedsideG... Android 📱 bit.ly/ELSOBedsideG...

VV #ECMO candidacy? Global disparities in absolute contraindications, decision-making processes, perceived consistency of decisions observed. Some expected (likely appropriate), but extent suggests significant need/opportunities for more standardized, evidence-based approaches. 🔗 bit.ly/4n7zmmg

Variability in adult VV #ECMO candidacy decision-making 🔍 internet-based international survey 📋 82% centers have formal inclusion/exclusion criteria ⚖️ clinician judgment as equally or more important than institutional guidelines ⚖️ inconsistent decisions for clinically identical pts 🔗 bit.ly/4n7zmmg

#ECMO in adults with CHD? Despite high mortality can be lifesaving used judiciously! 🗝️ challenges, complicating cannulation & perfusion goals, include: altered vascular access, residual shunts, circulatory configurations as Fontan/systemic right ventricles, cyanotic heart disease 🖇️ bit.ly/4narwIT

#ECMO in adults with congenital heart disease? 🫀because of complex anatomy, prior interventions, unique physiologic adaptations, ACHD pts often require highly individualized management strategies + should ideally be managed in specialized centers with multidisciplinary expertise 🖇️ bit.ly/4narwIT

Inadvertent left atrial return during VV #ECMO? Significant implications! Early recognition essential to avoid misinterpreting as treatment failure. Although carries potential risks as systemic embolism or LA overload, may confer physiological benefits in carefully selected pts. 🔗 bit.ly/3KRvCYI

Take a look at the Candidacy section of @theelso.bsky.social #ECMO Bedside Guide! Assess candidacy for: ⚖️ Adults with cardiac failure or CA 🫀 ⚖️ Adults with #ARDS 🫁 ⚖️ Pediatrics & neonates 🧸 ⚖️ Referral to an #ECLS center 🚑 #FOAMcc Apple 📱 bit.ly/ELSOBedsideG... Android📱 bit.ly/ELSOBedsideG...