🎥 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 after acute type A aortic dissection repair? May be reasonable. Despite high morbidity/mortality (comparable to other PC #ECLS), successful myocardial recovery may be achieved with careful pt selection; pre-run lactates strong predictor for mortality @asaiojournal.bsky.social 🔗 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

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

Perioperative #resuscitation and life support PeRLS 💦 fluid management ⛔️ preventing progression of shock to CA 🫁 RR in CA: hypo vs hyperventilation 🫀 symptomatic bradycardia 🐝 anaphylaxis 💉 LAST 🌡️ MH 💥 traumatic CA 💉 CA w neuraxial blockade 🚨 CPR, including prone position + #POCUS 🔗 bit.ly/4ir9eCf

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

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."

How to use noninvasive neuromonitoring in #ICU? Exploring practical matters/challenges of combining multiple modalities 🖥️ blind-TCD (traditional nonimaging TCD) 🖥️ OSND measurement ⚡️ multichannel continuous EEG 👁️ automated pupillometry 🚨 NIRS 💀 skull extensometer #FOAMcc 🔓 rdcu.be/eQOcT

Neuro-complications during VA #ECMO & implications for pt-centered outcomes 🧠 neurologic complications frequent & increased risk of in-hospital death/disability Prevention + better BI prognostication tools to should be research priority to improve outcomes. @critcaremed.bsky.social 🔗 bit.ly/4r2FJul

📢 #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/

✈️ We just left beautiful Dublin 🇮🇪 where we had an an on-site visit at the @TheRDS to start planning #EuroELSO2026, our 14th annual congress. Stay tuned for updates: an amazing scientific & educational program under construction 🏗️ 🗓️ May 6-9 2026 🔗 euroelso-congress.com/

📖 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

Critical care management of pharmaceutical poisoning ⏱️ initial assessment + #resuscitation 🔍 diagnostic approach ☠️ poisoning specific strategies ⚖️ toxicant-specific strategies + antidotes 🚨 rescue strategies including #ECMO (#ECPR, VA, VV for aspiration or inhalational injuries) 🔓 rdcu.be/ePGFM

Mastering vasopressin in septic shock, pragmatic bedside guidance on its optimal use, emphasizing real-world constraints & evidence gaps: 💉 clinical pharmacology ⚖️ dosing ⏱️ timing 🩺 practical considerations #FOAMcc @intenscaremed.bsky.social 🔓 rdcu.be/ePAno

#Trauma: contraindication for extracorporeal support in patients evolving to cardiac arrest?? NO! #ECPR can be used to restore circulation in trauma patients with CA! @theelso.bsky.social Registry analysis 2020-2024: survival? Higher than expected! @resuscitation.bsky.social #FOAMcc 🔓 bit.ly/3LtxJCz

How not to panic on #ECMO?? Take a look at the ⚠️ Panic Button section of @theelso.bsky.social Bedside Guide! You can use this free app to learn/train your team on how to manage emergencies during the run! Apple 📱 bit.ly/ELSOBedsideG... Google Play 📱 bit.ly/ELSOBedsideG...

VV multisite #ECMO in neonates & small children? Increasingly used to avoid neurologic risk of VA #ECLS & technical difficulties of DLCs! ⚖️ percutaneous cannulas smaller vs surgical but 🩸 adequate flows delivered w 10 Fr access/8 return in neonates + 12 access/10 return in older pts 🔓 bit.ly/4nNZxz0

Returning of #ECMO circuit residual volume at weaning ⚖️ pro/con & 🩸 different strategies for high resolution supplementary images 🖇️ bit.ly/3LtrL4t

Saving blood: at all times, at all costs? On returning circuit residual volume at #ECMO weaning ⚖️ pro/con of returning vs discarding blood 🩸 considerations related to different strategies: return through pre-pump access, pre-ML, ML, post-ML, A-V bridge, and use of cell saver 🖇️ bit.ly/47JJADF

#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

📦📦 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 across perioperative stages of liver #transplantation: 📚 growing use, also intra/preop, but outcomes remain poor (better if intra/postop). Improved survival may depend on careful pt selection, optimal timing of initiation, distinguishing reversible vs irreversible pathology 🔗 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.

🎥 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

📢 call for EuroELSO grant proposals 2026! 2️⃣ grants (MAX value 30K € 💶) available aimed at both adult & pediatric research equally, from healthcare professionists or research scientists 🗓️ Deadline: Dec 15, 2025 🔗 bit.ly/EuroELSOgrants 🏆 awarded candidates will present at #EuroELSO2026 in Dublin 🇮🇪

#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

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...

Another successful @esicm.bsky.social & EuroELSO #ECMO workshop at #LIVES2025 in Munich 🇩🇪 !! We had 5 sessions over 3 days 🫀VA 🫁 VV #ECLS + ECPR #simulation 🚧 circuit & complications troubleshooting 🚑 ECPR cannulation/initiation See you at #EuroELSO2026 in Dublin 🇮🇪 & #LIVES2026 in Lisbon 🇵🇹!

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.

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

The ELSO guideline on #ECMO for accidental hypothermia: 🧊 do NOT use criteria established for normothermic pts! Hypothermic CA? better survival/neuro-outcome. Unwitnessed CA, asystole, long no/low-flow times, age ≥70, low EtCO2 NOT contraindications to #ECPR in hypothermia. 🔓 bit.ly/475GUkR

The ERC 2025 cardio-pulmonary resuscitation guidelines are out! 🫀 adult basic & advanced life support 🧸 pediatric life support 🍼 neonatal life support 🚧 special circumstances 🩺 post-resus care ⚖️ ethics 📋 system saving lives 🎓 education for #resuscitation 🔍 epidemiology 🩹 first aid 🔓 bit.ly/4qkPTWO

Key point from my invasive CO talk the other day #CHEST2025

Myth-busting on periop autologous red blood cell salvage 🚿overview of process Myths on cell-salvaged blood ⚖️ 1️⃣ poor quality/inferior to allogeneic RBCs 🩸 2️⃣ increases bleeding 🚧 3️⃣ not safe in many surgeries 💶 4️⃣ not cost-effective #FOAMcc @anesthesiology.bsky.social @asahq.bsky.social 🔓 bit.ly/47vZfrk

I would normally not have batted an eye at this paper But it’s by Robert Hahn, and is a nice overview of everything we know about fluid redistribution in the critically unwell- including gel phase, some glycocalyx stuff, 3 compartment models, and albumin escape rates #foamed

🧠 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

Where does the fluid go? 💦 morphological changes/damage by fluid overload 🛌 fluid distribution in anesthesia 3️⃣ extracellular fluid compartments 💧 physiology, manipulation & max filling of slow-exchange fluid space 🔥 inflammation, capillary leakage & lymphatic flow 💦 🥚 albumin 🔓 rdcu.be/eLnfi

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

#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

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

Inadvertent LA return in VV #ECMO? Rare but underrecognized! 🔍 nonmultistage return cannula in fem-fem VV crossed IAS 🩸V-LA ECLS resulted in massive R-to-L shunt of hyperoxy blood 🚧 malposition not clinically evident until weaning 🩺 solved by repositioning, no IA defect at follow-up 🔗 bit.ly/3KRvCYI

The @eacts.bsky.social Consensus on pre-emptive t #MCS in adult cardiac surgery 🔍 epidemiology 👥 heart team 🚧 high-risk pts 🪜 protected cardiac surgery classification 🫀 periop management 🩺 #ICU management 📦 device selection: #ECMO, #LVAD... 🔮 outcome ⚖️ ethics and consent #FOAMcc 🔓 bit.ly/3J68mpo

📢 #EuroELSOwebinar: Post-Cardiotomy #ECLS ⚖️ Indications, timing and settings 🫀 Unloading, hybrid configurations & difficult cases 🖥️ Joint #ICU management: monitoring, anticoagulation, ventilation 🩺 Clinical case - Anne Schaefer 🎙 Discussion 🗓️ October 30, 16:00 CET 🖋 www.euroelso.net/webinars/ #ECMO

Ready to take your career to the next level? 🚀 Join the 12-month online ESOT Mentorship Programme: connect with leaders in transplantation, grow your skills, and gain one-to-one guidance. Apply now 👉 go.esot.org/mentorship26_00 #Mentorship #ESOTeducation #ProfessionalDevelopment

🎥 Virtual #ELSO2025 Is now live! To access virtual platform (pre-conference included), available through 🗓️ January 28, 2026, register at 🔗 bit.ly/ELSO2025virtual If you joined in Washington visit: 🔗 elso2025.teneventsmedia.com using username/password received by email 🎓 CME/CEU for MD/RN/Pharm

Take a look at calculators section of @theelso.bsky.social #ECMO Bedside Guide 🧮 BSA 🧮 Units 🧮 Flow calculators 🧮 O2 transfer 🧮 DO2i 🧮 Estimated post-dilutional Ht 🧮 OI 🧮 P/F ratio 🧮 Recirculation % 🧮 Tubing volume constants/conversions Apple 📱 bit.ly/ELSOBedsideG... Android 📱 bit.ly/ELSOBedsideG...

Weaning from VA #ECMO: which approach best reflects true cardiopulmonary reserve?? 🔄 PCRTO feasible/safe: retrograde flow through pump, creating controlled VA shunt mimicking native physiology, challenges RV + reducing LV afterload + enabling assessment of native lung function 🔓 rdcu.be/eJf91