Antimicrobial stewardship in #ECMO? Challenging & evolving discipline, w limited data available!
๐งซ PK alterations induced by circuits + prolonged ICU stays + high infection risk make optimal ABT therapy complex. Evidence for use of stewardship in #ICU remains applicable to #ECLS.
๐ bit.ly/4cXVzlj
Understanding lung physiology through ventilator screen
๐ซ airway pressure waveform: equation of motion, conductive P, stress index, DP
๐ flow waveform during PCV
๐จ expiratory flow/time constant
๐ dynamic bedside maneuvers: AOP, recruitability & recruitment-to-inflation ratio
#FOAMcc
๐ rdcu.be/e6iG6
The evolution of deceased organ donation in the US ๐บ๐ธ
๐ historical & legal framework
๐ donor epidemiology
โ๏ธ policy modernization
๐ฉธdonor evolution in the era of perfusion & preservation: NRP, NMP, HOPE
๐ฎ implications and future directions
@jama.com
๐ bit.ly/3MLW1IV
Argatroban in #ECMO? First prospective randomized controlled pilot trial to compare argatroban vs UFH as first line maintenance anticoagulation
๐ฉธno difference in incidence/time to event regarding bleeding events/thrombosis
๐ฉธRBCs/PLTS transfusion requirement similar
#FOAMcc #FOAMecmo
๐ bit.ly/4szm05J
@scainews.bsky.social @accpchest.bsky.social @jaccjournals.bsky.social @acepnation.bsky.social @sirweb.org @vmj-svm.bsky.social
21.02.2026 09:12 โ ๐ 0 ๐ 0 ๐ฌ 0 ๐ 0
๐ชก๐งต PE 2026 guideline 4/4
๐in patients with acute PE (categories C-E) who require sedation for intubation, hemodynamic supportive therapies (vasopressors, inotropes, and/or #ECMO) should be available in the event the patient becomes unstable
Open access #FOAMcc
๐ bit.ly/4tNACzF
or ๐ bit.ly/4b0JZoe
๐ชก๐งต PE 2026 guideline 3/4
๐ for pts with acute PE hemodynamically stable but at high-risk (categories C3-D), transferring to center that can provide advanced therapies, including #ECMO, may be considered to ensure access to appropriate interventions
Open #FOAMcc
๐ bit.ly/4tNACzF
or ๐ bit.ly/4b0JZoe
๐ชก๐งต PE 2026 guideline 2/4
๐ซ if acute, refractory CS due to known/suspected acute PE, reasonable to institute VA #ECMO, if resources available, to stabilize hemodynamics/improve oxygenation. On ECMO, IV anticoag recommended (if no bleeding). Usefulness of additional therapies is not well established.
2026 @ahascience.bsky.social ACC guideline for evaluation/management of acute PE in adults
๐ definitions/classifications
๐ฉบ evaluation/diagnosis
๐ฉธ acute management
๐ฅ๏ธ monitoring/follow-up
๐ง complications/sequelae
๐ evidence gaps/future directions
With recommendations on #ECMO, see ๐งต
๐ bit.ly/4tNACzF
๐ซ๐ The 2026 @ishlt.bsky.social consensus statement on clinical cardiac xeno #transplantation summarizing evidence-based + theoretically founded recommendations for selection/management of xenograft recipients, and informed guidance on design/oversight of near-term clinical work.
๐๏ธ bit.ly/4rzqqcG
Integrating #CRRT into ex-situ normothermic liver machine perfusion? To
โ๏ธ support solute clearance
๐ฆ reduce edema
maintaining stable dynamics + improving graft during extended NMP. Here, reproducible & safe method to connect CVVHDF into NMP + how to prime, monitor & manage.
๐๏ธ bit.ly/4roiMS2
Too much of a good thing? Hyperoxemia in acute brain injured pts
๐ง hypoxic-ischaemic encephalopathy
๐ง other acute brain injuries
How to balance competing risks of hypo vs hyperoxemia? Hypoxemia to be vigilantly avoided but excessive O2 exposure may contribute to secondary BI #FOAMcc
๐ rdcu.be/e4wuW
๐ฅ๐ฒ๐บ๐ถ๐ป๐ฑ๐ฒ๐ฟ: Applications are open for the Transplant Science Summer School 2026 (11โ13 June, Krakรณw).
Early-career professionals in transplant science are encouraged to apply.
๐
Deadline: 15 March 2026
#ESOT_BasicScience #ESOTeducation
#ECMO center volume: any association with #ECLS related complications? Analysis of @theelso.bsky.social Registry.
Higher volume may lead to โฌ๏ธ experience translating to โฌ๏ธ vigilance = early detection of ECMO complications, but also to initiation within larger, more complex population.
๐๏ธ bit.ly/3MP3mr1
๐ Blue Book: #ECMO Specialist Training Manual chapter 13, #ECLS circuit & component changes
โ๏ธ pt management
โ๏ธ change-out supplies/procedure
โ๏ธ circuit & selective components replacement: ML, pump-head/raceway, tubing, connector, stopcock/pigtail, AV bridge
โ๏ธ post-replacement phase
๐ bit.ly/ELSObooks
Exploratory laparotomy in #ECMO
๐ฉบ indications? bowel pneumatosis, portal venous gas, free air, mesenteric edema, distention + rapid Hb decrease, increasing vasopressors or ventilatory pressure
๐ฉธ most ischemic injuries? watershed hypoperfusion due to CS or ECMO: thromboembolism rare
๐ bit.ly/4alLSvB
Homemade #ECMO cannulation model for simulation training
โป๏ธ customizable low cost phantom: agar-agar, household materials, repurposed medical components
๐ฅ๏ธ enables #POCUS guided access, cannula insertion, EBF initiation; can be easily integrated in mannequins
@asaiojournal.bsky.social
๐ bit.ly/4al18ZC
RBC transfusion decision making in non bleeding critically ill
๐ฉธ DO2/VO2 + adaptation mechanisms to Hb drop
๐ฉธ should RBC transfusion be not only Hb based?
๐ฉบ evidence supporting use of physiological triggers: ScvO2, A-V O2 difference, O2ER, lactate, troponin, tissue perfusion, PbtO2
๐ rdcu.be/e31QP
๐ฅ Recordings of joint EuroELSO & SEMICYUC webinar: #ECMO in Out-of-Hospital Cardiac Arrest: a matter of time and details in NOW available open access
๐ www.youtube.com/watch?v=egV63igN41g
๐ Organization & patient selection: Dutch HEMS experience
๐ฉบ Practical aspects of cannulation/initial management
Driving vs transpulmonary pressure?
๐ซ ฮP = Pplat - total PEEP
๐ซ PL = Paw - Ppl (Ppl approximated by Pes)
๐๏ธ key advantage of PL? allows to distinguish lung vs chest wall mechanics
ฮP enables individualization of VT according to size of baby lung; PL allows to titrate PEEP
#FOAMcc
๐ rdcu.be/e3TSf
Just over a week to go until our next BTPT webinar! Make sure you sign up now to secure your space - tinyurl.com/liverkidneyt...
12.02.2026 20:04 โ ๐ 1 ๐ 1 ๐ฌ 0 ๐ 0
๐ฅ Celebration of Dr Bartlett is live youtube.com/@TheELSO
1๏ธโฃ Welcome
2๏ธโฃ Renaissance man
3๏ธโฃ The Clinician
4๏ธโฃ Clinical researcher & inventor
5๏ธโฃ ECMO origins
6๏ธโฃ Maturation of ECMO
7๏ธโฃ ELSO - Bob's vision for a global #ECMO community
8๏ธโฃ The patients' view
9๏ธโฃ Lessons from Bob
1๏ธโฃ0๏ธโฃ Closing remarks
1๏ธโฃ1๏ธโฃ Music program
๐ฉธ Noninvasive approach for real-time detection of thrombi in #ECMO circuits using acoustic measurements, not requiring any modifications. This technique may be used to develop a system to warn of potential clots, to be coupled with clinical observations.
@asaiojournal.bsky.social
๐ bit.ly/4at1snM
Prone positioning in VV #ECMO?? no net physiological benefit after #ECLS initiation in this animal model ๐ with severe #ARDS randomized after VV initiation to prone or supine positioning for 48 h, receiving an ultraprotective MV strategy ๐ซ
Open access #FOAMcc #FOAMecmo
๐ rdcu.be/e28tP
(Circuit) integration or separation approach in #ECMO patients requiring #CRRT? E-CRRT RCT
๐ 80 pts allocated to circuits integration vs separation
โ๏ธ no significant difference in filter lifespan
๐ชฆ comparable mortality
๐ซง no differences in serious adverse events including air embolism
๐ rdcu.be/e2FyX
๐ Monitoring #extracorporeal circuit and pt on #ECLS: Blue Book, chapter 12
๐ฅ๏ธ circuit: pressures, EBF meters, air/bubble detectors, OxyHb monitoring, temperature
๐ฅ๏ธ patient: arterial BP, SpO2, Sc/SVO2, rSO2, EtCO2, PAC, #POCUS, neuromonitoring
๐ the #ECMO Specialist Training Manual
๐ bit.ly/ELSObooks
VA #ECMO related axillary artery cannulation & aortic hemodynamics
โข๏ธ 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
๐๏ธ bit.ly/3OkAPKd
๐ข #ECMO in OHCA: a matter of time and details, joint webinar EuroELSO & @semicyuc.bsky.social
๐ Organization and patient selection: Dutch HEMS experience
๐ฉบ Cannulation and initial management
๐ค Q/A
๐ Feb 10 2026, 15:30 CET
Register ๐ www.euroelso.net/webinars/
Lectures in ๐ฌ๐ง
Q/A translated in ๐ช๐ธ
Invasive ABP? True monitoring tool
๐ฏ accurate interpretation
๐ซ physiological insights: aortic pressure, arterial compliance, reflection waves, peripheral BP
๐ฉบ applications & targets: MAP/organ perfusion, PP/DV, DBP/vascular tone, SBP/LV afterload
๐ PPV & fluid responsiveness
#FOAMcc
๐ bit.ly/3LJYsva
๐ฝ๏ธ 2025 ELSO Consensus statement for provision & management of nutrition therapy in critically ill adult patients requiring #ECMO
@asaiojournal.bsky.social
๐ bit.ly/45BLRkq
