Still huge knowledge gap regarding what happens after #ECMO decannulation: discrepancy exists between pts successfully weaned & pts who survive to discharge. We need common language.
🖇️ bit.ly/3W2d2Rc
Refers to study on outcome of #ECLS for CS.
🖇️ bit.ly/441RYfI

New article published in Intensive Care Medicine - Link: rdcu.be/dBGSF 📝 „Knowing the ropes of vasopressor dosing: a focus on norepinephrine“ - strategies♟️, targets 🎯, properties ⚖️. Great collaboration Dr. Miguel Ibarra-Estrada & #EKattan #shock #microcirculation M Velia Antonini Uniklinik Düsseldorf

Fluids restriction in septic shock #ICU patients
🔍777 adults, restrictive vs standard IV fluids
🧪post hoc analysis of lactate concentrations, CLASSIC RCT
☔️restrictive fluid strategy does not seem to affect time to resolution of hyperlactatemia
#FOAMcc
🔓rdcu.be/dEGOB

🫁 Arterial oxygen in critically ill patients with hematologic malignancies: modifiable factor to improve survival?? #FOAMcc on Intensive Care Medicine
🔓 rdcu.be/dEDcC

🫀Steady flow LV unloading or pulsatile pressure augmentation venting on peripheral VA #ECMO ?? In this study pVAD seems superior to #IABP to sustain end-organ perfusion, reducing myocardial VO2, promoting forward flow across aortic valve.
asaiojournal
🖇️ bit.ly/3JdWpdQ

Multicenter series aimed to evaluate if single site cannulation could be safe & feasible with inaccessible RIJV requiring respiratory #ECMO . DLC insertion sites included left internal jugular vein, right/left subclavian vein, right/left femoral vein.
🔓 bit.ly/4auzhUd

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 …

🫁 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

🧠 After BD, aim of ICM shifts to saving pts on waiting list, maximizing number & function of procured organs, respecting donor dignity. Be aware of pathophysiological changes which may need to be approached even if evidence for specific treatments in DND low. #FOAMcc Intensive Care Medicine

📢 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

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…

Age... Just a number? #EuroELSOwebinar with Shannon Fernando & Peter Schellongowski💜 today! Understand impact of a treatment (benefit/no benefits/harm) in different populations pivotal to improve patient selection:
⚖️ identifying appropriate candidates for #ECMO may optimize outcomes of a…

🧠 Management of aneurysmal subarachnoid hemorrhage? Significant progress, despite challenges due to lack of robust evidence for many treatments! Timely diagnosis, transfer to specialized centers, #ICU care pivotal to improve prognosis. Update
🔓bit.ly/3VSmCG8

#FOAMcc …

🫀ECPR for refractory cardiac arrest? Despite being younger, having substantially lower severity/fewer complications in #ECMO , women have in-hospital mortality similar to men. Findings driven by biologic factors or disparities in care?
asaiojournal
🖇️bit.ly/3U8xTRB

Acaba en Vall d'Hebron la 2ª edición del curso avanzado en reanimación cardiopulmonar extracorpórea ECMOBARNA-ECPR. Un equipo multidisciplinar de 12 alumnos ha aprendido mediante simulación el manejo de la PCR refractaria con #ECPR #ECMO ❗️
🔜próxima edición 18 y 19/10/24 ECMO Barcelona

Incorporating nitric oxide into the sweep gas flow to the membrane lung during #ECMO … Is it safe & effective?? Yes! in this #PedsICU study
🩸no significant methemoglobinemia reported with the addition of NO to SGF (median daily MetHb level higher in those who received NO)
🩸no…

🫀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…