Prolonged VA #ECMO? Characterizing patients requiring long run in the PRECISE-ECLS cohort
🔍 29% prolonged #ECLS
🔎 1y mortality/HRQoL comparable for pts who received support for 7 days/longer
A prediction model may assist in decision-making regarding treatment goals beyond first week
🔓 rdcu.be/e6gIm

📢 Our newsletter is out!
🖋️ Message from our President
📆 Mark calendars: #ECMO Team Day is May 8th!
🛏 Circuit Chatter: special edition
📃 News from ELSO Committees
📆 Save the date for #ELSO2026
🌏 #ECLS around the world, updates from ELSO Chapters
🖋️ CEO remarks & more!
🔗 bit.ly/2IR8RCl

Argatroban in patients with #ECMO, Pilot RCT:
💉 pts received 50-100 IU/kg UFH upon cannulation + continuous UFH 5-10 IU/kg/h, anti-Xa 0.2-0.3 IU/ml
⚖️ 1:1 received argatroban (start 0.2 µg/kg/min, hemoclottm 0.6-0.8 µg/ml) or continued UFH
🩸 no difference in bleedings/thrombosis
🔓 bit.ly/4szm05J

📖 VV #ECMO in children Chapter 14 is focused on neonates and pediatric patients experiencing respiratory failure:
🫁 history of veno-venous #ECLS
🫁 neonatal respiratory ECMO
🫁 pediatric VV ECMO
🫁 patients & circuit management
📘 The Blue Book is available in our bookstore!
🛒 bit.ly/ELSObooks

🚡 #KeystoneECMO, the #ECMO & the advanced therapies for cardiovascular and respiratory failure conference, is ongoing in Colorado! 🌨️
The 42nd Annual Children's National Symposium is addressing the educational needs of health care workers involved in the care of patients in #ECLS.

🖥️ Dr. Bartlett legacy 24-hour virtual summit: Connecting clinicians, researchers, and innovators worldwide for a day of #ECMO collaboration
Save the date!
📆 March 16, 2026 - March 17, 2026
⏰ Start time: 8:00 AM EDT; 7:00 AM BRT; 1:00 PM CET; 5:30 PM IST; 8:00 PM SCT
Register at
🔗 bit.ly/Bartlett24h

#APELSO2026: Challenging spirit! Save the date for 8th annual conference of Asia-Pacific chapter of @theelso.bsky.social Extracorporeal Life Support Organization
📌 Tokyo 🇯🇵
📆 June 11-13 2026
⏰ Abstract submission deadline: February 28
Meanwhile, follow APELSO on Facebook for updates!
🔗 bit.ly/3OtKX3A

🫁 M Baram will present on VV #ECLS: principles of pt selection, physiology, management strategies to optimize respiratory support
🫀P Mason will present on VA #ECMO: hemodynamic support, decision-making, complexities of managing pts requiring cardiac/cardiopulmonary support
🔗 bit.ly/49nEhL5
#SCCM2026

⚙️ #ECMO continues to evolve: education remains foundation of safe, effective care!
Join ELSO & @sccmcriticalcare.bsky.social pre #SCCM2026 course for two exceptional 1️⃣ day programs to strengthen clinical understanding and decision-making across #ECLS
📌 Chicago, IL
📅 March 20 & 21
🔗 bit.ly/49nEhL5

Temporary mechanical support in fulminant myocarditis
🔍 patients treated with VA #ECMO and/or #Impella from FULLMOON study
🫀 FM requiring t-MCS associated with high 1-year mortality = 36%, even if young cohort: rapid recognition + timely transfer to specialized #ECLS centers pivotal
🔓 rdcu.be/e4IBX

#ECMO center volume: any association with #ECLS related complications? Analysis of @theelso.bsky.social Registry.
Higher volume may lead to ⬆️ experience translating to ⬆️ vigilance = early detection of ECMO complications, but also to initiation within larger, more complex population.
🖇️ bit.ly/3MP3mr1

#ECMO center volume & complications in adults
🔎 ELSO Registry, 2018-2021
🫁 >9.4K VV, average volume 74
🫀 >10.7K VA, average volume 80
🚑 >3.5 #ECPR, average volume 89
Higher volumes associated with ⬇️ hemorrhagic complications for VA/VV, ⬆️ mechanical complications for VA (not ECPR).
🖇️ bit.ly/3MP3mr1

📘 Blue Book: #ECMO Specialist Training Manual chapter 13, #ECLS circuit & component changes
⚙️ pt management
⚙️ change-out supplies/procedure
⚙️ circuit & selective components replacement: ML, pump-head/raceway, tubing, connector, stopcock/pigtail, AV bridge
⚙️ post-replacement phase
🛒 bit.ly/ELSObooks

Exploratory laparotomy in #ECMO
🩺 indications? bowel pneumatosis, portal venous gas, free air, mesenteric edema, distention + rapid Hb decrease, increasing vasopressors or ventilatory pressure
🩸 most ischemic injuries? watershed hypoperfusion due to CS or ECMO: thromboembolism rare
🔗 bit.ly/4alLSvB

Exploratory laparotomy in patients on #ECMO
🔍 >1,3K #ECLS patients: 4% abdominal exploration
🔪 procedures pts resection of necrotic bowel, repair of perforations, other
🪦 mortality 57%; higher disease severity scores/mesenteric ischemia: significant factors influencing mortality
🔗 bit.ly/4alLSvB

Homemade simple, low-cost, eco-friendly, versatile #ECMO cannulation model providing a practical/accessible alternative to commercial simulation training models, promoting broader implementation of training programs.
Open access #FOAMcc @asaiojournal.bsky.social
🔓 bit.ly/4al18ZC

🎥 Recordings of joint EuroELSO & SEMICYUC webinar: #ECMO in Out-of-Hospital Cardiac Arrest: a matter of time and details in NOW available open access
🔓 www.youtube.com/watch?v=egV63igN41g
🚁 Organization & patient selection: Dutch HEMS experience
🩺 Practical aspects of cannulation/initial management

Expert consensus for psychomotor competency in percutaneous #ECMO cannulation:
🔍 modified Delphi study
📋 consensus achieved for core skills/resource allocation steps
🖇️ bit.ly/3MmJ3RJ

With editorial: ECMO cannulation training, a step forward in establishing essential safe practices
🖇️ bit.ly/4083Prg

🎥 Celebration of Dr Bartlett is live youtube.com/@TheELSO
1️⃣ Welcome
2️⃣ Renaissance man
3️⃣ The Clinician
4️⃣ Clinical researcher & inventor
5️⃣ ECMO origins
6️⃣ Maturation of ECMO
7️⃣ ELSO - Bob's vision for a global #ECMO community
8️⃣ The patients' view
9️⃣ Lessons from Bob
1️⃣0️⃣ Closing remarks
1️⃣1️⃣ Music program

How to detect thrombi in #ECMO circuits??
))))) noninvasive approach using acoustic measurements
🩸 compared with visual observations total accuracy 84%; hypothesizing that some false positives were indicators of clots, the accuracy may be up to 96%
@asaiojournal.bsky.social
🔓 bit.ly/4at1snM

🎥 Final #SWAACELSO2026 video from Chennai 🇮🇳!
The 12th Annual Conference of the South West Asia and Africa Chapter of the ELSO - Extracorporeal Life Support Organization & 15th Annual national conference of #ECMO society of India was a success!

Prone positioning in VV #ECMO?? no net physiological benefit after #ECLS initiation in this animal model 🐖 with severe #ARDS randomized after VV initiation to prone or supine positioning for 48 h, receiving an ultraprotective MV strategy 🫁
Open access #FOAMcc #FOAMecmo
🔓 rdcu.be/e28tP

Prone positioning in VV #ECMO
🐖 8 pigs with severe #ARDS randomized after VV initiation
🫁 PP did not reduce the overall extent/severity of lung injury but shifted distribution of damage, with greater involvement of dependent regions and relative preservation of non-dependent areas.
🔓 rdcu.be/e28tP

Closing remarks from #SWAACELSO2026 the 12th Annual Conference of the South West Asia and Africa Chapter of @theelso.bsky.social & 15th Annual national conference of #ECMO society of India, in Chennai 🇮🇳

Read the abstracts book! @asaiojournal.bsky.social supplement
🔓 bit.ly/46DmIWK

#SWAACELSO2026 the 12th Annual Conference of the South West Asia and Africa Chapter of @theelso.bsky.social & 15th Annual national conference of #ECMO society of India is ongoing Chennai 🇮🇳

PS The abstracts book of #SWAACELSO2026 has just been released by @asaiojournal.bsky.social
🔓 bit.ly/46DmIWK

(Circuit) integration or separation approach in #ECMO patients requiring #CRRT? E-CRRT RCT
🔎 80 pts allocated to circuits integration vs separation
⚖️ no significant difference in filter lifespan
🪦 comparable mortality
🫧 no differences in serious adverse events including air embolism
🔓 rdcu.be/e2FyX

📖 Monitoring #extracorporeal circuit and pt on #ECLS: Blue Book, chapter 12
🖥️ circuit: pressures, EBF meters, air/bubble detectors, OxyHb monitoring, temperature
🖥️ patient: arterial BP, SpO2, Sc/SVO2, rSO2, EtCO2, PAC, #POCUS, neuromonitoring
📘 the #ECMO Specialist Training Manual
🛒 bit.ly/ELSObooks

VA #ECMO related axillary artery cannulation & aortic hemodynamics
☢️ insights from computational fluid dynamics models derived from 10 CT-based geometries to simulate flow via right or left axillary artery access under varying levels of cardiac dysfunction
@asaiojournal.bsky.social
🖇️ bit.ly/3OkAPKd

VA #ECMO & axillary a. cannulation: insights from computational fluid dynamics
🫀 RAA more frequently resulted in retrograde flow, particularly in type III arch
🫀 LAA promoted antegrade or arch-split flow: may provide more favourable antegrade flow, particularly if CO impaired
🖇️ bit.ly/3OkAPKd

📢 #ECMO in OHCA: a matter of time and details, joint webinar EuroELSO & @semicyuc.bsky.social
🚁 Organization and patient selection: Dutch HEMS experience
🩺 Cannulation and initial management
🎤 Q/A
📆 Feb 10 2026, 15:30 CET
Register 🖋 www.euroelso.net/webinars/

Lectures in 🇬🇧
Q/A translated in 🇪🇸