Beating the odds: survival after #ECMO decannulation due to poor prognosis in #PedsICU? Recovery rare but possible! Prognostication in #ECLS uncertain; individualized, multidisciplinary, family-centered decision-making pivotal as considering discontinuation @asaiojournal.bsky.social 🖇️ bit.ly/458VYwh

@theelso.bsky.social · 2h ago

Survival after #ECMO decannulation due to poor prognosis in #PedsICU 🔍 ELSO Registry, 2013 to 2023 🔎 > 6.6K pediatric runs decannulated for poor prognosis: survival 0.3% ⚖️ survivors more often had pulmonary indications, lower pre ECMO lactates, fewer complications, longer run 🖇️ bit.ly/458VYwh

Cerebro‑cardiovascular coupling in #ECMO? Monitoring pivotal for neuroprotective management! 🔍 study evaluating cerebral hemodynamics in adults with CS on VA #ECLS 🖥️ Combined TCD + rSO2 offers insight into cerebral perfusion & cardiac performance/recovery @asaiojournal.bsky.social 🖇️ bit.ly/4w9slWN

@theelso.bsky.social · 23h ago

Cerebro‑cardiovascular coupling in #ECMO 🖥️ TCD indices, closely reflect cardiac performance ⚖️ persistent low PI identified high risk of non-survival ⚖️ U‑shaped correlation between rSO2/PI, indicating optimal oxygenation at mid‑range PI values (0.6-1.2) associated with best survival 🖇️ bit.ly/4w9slWN

Early rehabilitation in patients in VV #ECMO as bridge to recovery 💪🏼 consistent #ICURehab exposure may serve primarily as marker of physiologic stability/resilience + recovery potential, and may reflect potentially modifiable therapeutic exposure in ECLS. @asaiojournal.bsky.social 🖇️ bit.ly/3REOf67

@theelso.bsky.social · 4d ago

Early rehab on VV #ECMO as bridge to recovery 🔍 153 adults on ECLS for at least 7 days who received at least 1 PT session 💪🏼 higher rehabilitation intensity = PT sessions per day, reflecting opportunity for/tolerance of mobilization, independently associated with favourable discharge 🖇️ bit.ly/3REOf67

🚑 Decannulation success after #ECMO in #OHCAdepends on multiple interrelated factors, bedside-assessable & noninvasive. Optimizing modifiable factors as myocardial recovery, vasopressor requirements, blood flow requirements could improve decannulation outcomes. #FOAMcc #FOAMecmo 🖇️ bit.ly/4h8EcjY

@theelso.bsky.social · 5d ago

Decannulation in patients treated with VA #ECMO for OHCA 🚑 390 patients treated under Minnesota Resuscitation Consortium #ECPR protocol (Dec 2015 - Mar 2023); 🫀125 underwent decannulation, 88% successfully; LVEF at lowest EBF, pulsatility, VIS, run duration associated with success 🖇️ bit.ly/4h8EcjY

Micro-axial flow pump vs VA #ECMO for high-risk PCI 🫀 pts w complex three-vessel disease, unprotected left main coronary disease or last patent conduit + LVEF ≤35% mAFP non-inferior to ECMO for major adverse events + shorter post-procedural LoS/fewer device-related adverse events 🖇️ bit.ly/4pIr9YF

@theelso.bsky.social · last wk.

Micro-axial flow pump vs VA #ECMO for high-risk percutaneous coronary interventions? 🔍 prospective, multicenter RCT With mAFP vs ECMO ⚖️ 30d major adverse events 7.3 vs 11.5% ⚖️ post-procedural hospital stay 4.1 days vs 5.2 days on average ⚖️ device-related adverse events 3.7 vs 11.5% 🖇️ bit.ly/4pIr9YF

OD following MAiD: recommendations of Transplantation Society providing guidance to support end-of-life wishes while safeguarding ethical/legal standards, and maintaining trust in MAiD & #transplantation: ⚖️ regulatory safeguards 📋 clinical pathway 🔑 key ethical considerations 🔓 bit.ly/4hAZuqx

📖 Procedures on #ECMO??:#ECLS should not be considered a barrier to any intervention or surgery! With proper planning, a broad range of procedures can be safely managed during the run! 📘 The Blue Book: latest edition of @theelso.bsky.social #ECMO Specialist Training Manual 🛒 bit.ly/ELSObooks

@theelso.bsky.social · last wk.

📖 Procedures on ECLS - chapter 25 conclusions 📋 preparation, positioning, environment ☢️ interventional cardiology & radiology procedures 🧠 trauma & neurosurgical procedures 🫁🫀 thoracic, abdominal vascular and cardiac procedures ⚙️ circuit procedures 🚑 return to ICU 📘 The Blue Book 🛒 bit.ly/ELSObooks

Celebrating Dr. Bartlett at #ELSO2026, 37th annual conference of the ELSO 📆 Plenary Day 1, September 29 from 8 am 🎶 A musical tribute to Dr. Bartlett 🎤 Bartlett lecture 💡 Spirit of innovation: the Bartlett legacy 🎥 Bartlett celebration of life video & commentary 📌 Nashville, TN 🖇️ bit.ly/ELSO2026

Modeling the cost-effectiveness of implementing #ECPR strategy in refractory #OHCA vs cCPR 🚑 Cost-effectiveness of ECPR sensitive to delays in transport and initiation, highlighting need to define eligibility criteria + optimize prehospital system. @critcaremed.bsky.social 🖇️ bit.ly/4wfzVjl

@theelso.bsky.social · 2w ago

Modeling cost-effectiveness of ECPR vs cCPR 🔍 simulation-based analysis including >1.4 OHCA 🇸🇬 💵 #ECMO likely to be cost-effective across different age-based scenarios 🚑 however, timely transport to ECLS centers critical! Cost-effectiveness sensitive to delays in transport/initiation 🖇️ bit.ly/4wfzVjl

Normothermic regional perfusion in cDCDD @esottransplant.bsky.social consensus 📋 definitions ⚙️ MP 🩺 team & training 🩸 #NRP & its technical success 🫀🫁 preservation of lung/heart function 📋 evaluation of donor organs ⏱️ sequence of recovery ⚖️ ethics 🧠 brain perfusion 🔍 unmet needs 🔓 bit.ly/NRPconsensus

#ECMO in congenital lung malformations severe respiratory failure in early infancy?? 🔍 ELSO Registry study aimed to determine incidence of #ECLS use and identify predictors of survival @asaiojournal.bsky.social #PedsICU 🖇️ bit.ly/3TaSpD3

@theelso.bsky.social · 2w ago

#ECMO in infant with congenital lung malformations 🔍 ELSO Registry study 🔎 451 infants included; 88% neonates 🫁 survival 47%, varying by diagnosis subtype ⚖️ higher weight + steroids associated w survival 🪦 ECPR, hemorrhagic/neurologic complications associated with higher mortality 🖇️ bit.ly/3TaSpD3

📢 Abstract submission is open for the 16th #EPITAsymposium. Submit your research in basic science, pancreas transplantation, allo-islet or auto-islet transplantation. 📍 Innsbruck-Igls, Austria 📅 24–26 January 2027 ⏳ Deadline: 1 October 2026 Submit now: go.esot.org/epitasymp27_00 #ESOT_EPITA

We got 2 abstracts accepted for #ELSO2026 🫁 Extracorporeal support before/beyond failure: #ECMO in thoracic surgery ⚠️ Characterizing adverse events/complications associated with normothermic regional perfusion in DCD donors Can't wait to present results in Nashville 🎶 in September! 🖇️ bit.ly/ELSO2026

Also check previous sessions: 1️⃣st ELSO Registry live Q&A 🎥 youtu.be/20oPl6N1ZVI 2️⃣nd ELSO Registry live Q&A 🎥 youtu.be/qoELY5ofrOk Tips & Tricks to Data Entry 🎥 youtu.be/VasZ-Oa7EKM How to collect Registry Data 🎥 youtu.be/Fl2RhFRAqZs

Third ELSO Registry live Q&A

YouTube video by ELSO Extracorporeal Life Support Organization

youtu.be

🎥 Recordings of the 3️⃣rd ELSO Registry live Q&A❓ is now available on our YouTube channel! An interactive session designed for data abstractors, coordinators, clinicians, researchers, and anyone who works with the Registry data: definitions, interpretation, challenging cases. 🎥 youtu.be/UOFBuBGK1rw

Simple monitoring to help recognizing readiness for weaning during peripheral VA #ECMO? Emergence of left radial pulsatility + bilateral pressure-gas concordance may serve as low-invasive, real-time bedside marker to facilitate early recognition of recovery, prompting formal #POCUS 🔓 rdcu.be/ftBoJ

@theelso.bsky.social · 3w ago

Readiness for weaning during peripheral VA-ECMO? 🖥️ bilateral radial A-lines: pressure concordance/similar waveform + concordant ABG values suggested similar arterial blood source 🖥️ strong association with LVOT VTI  threshold commonly used for weaning assessment at subsequent #POCUS 🔓 rdcu.be/ftBoJ

In the rounds with ECMO experts at #ELSO2026... 1️⃣ Refractory hypoxemia 2️⃣ Complex mode/configuration 3️⃣ ECMO complications 4️⃣ ECMO research 5️⃣ RV dysfunction 6️⃣ Pt selection 7️⃣ Low fidelity education 8️⃣ Shock 9️⃣ Mobility 1️⃣0️⃣ Infections & other iatrogenesis 1️⃣1️⃣ Multiple device weaning 1️⃣2️⃣ ECPR 🖇️ bit.ly/ELSO2026

Pediatric controlled donation after circulatory determination of death @esottransplant.bsky.social consensus 🕯️ integrating donation into #PedsICU end-of-life 🩺 donor identification/assessment for suitability ⚖️ decisions about pcDCDD and communication ⏱️ ante-mortem interventions 🔓 bit.ly/44nQPQE

Contemporary #extracorporeal cardiopulmonary resuscitation programs for refractory cardiac arrest: 🔑 key features of #ECPR programs ⚖️ appropriate patient selection 🚑 response system & cannulation model/methods 🩺 team composition 🎓 training programs and education #FOAMcc #FOAMecmo 🔓 bit.ly/3RqXzKz

60 years of #ARDS and the evolution of extracorporeal lung support, from #ECMO to #ECCO2R 📚 history of #ECLS in ARDS 🔍 randomized evidence 🚑 selection and transport of candidates 🩺 management ⚠️ complications 🔭 long-term outcomes and survivorship 🔮 future of ECLS for ARDS 🔓 rdcu.be/fszcS

#ECPR for refractory cardiopulmonary arrest occurring after major after cardiac surgery 🔍 institutional experience including adults who underwent #ECMO for CA within 30 days after major cardiac surgery outside OR, 2015 - 2023 @asaiojournal.bsky.social 🖇️ bit.ly/4vib0dI

@theelso.bsky.social · last mo.

#ECPR for refractory cardiopulmonary arrest occurring after major after cardiac surgery 🔍 institutional experience, 2015 - 2023 ⚖️ 57.4% successfully decannulated, 42.6% died on #ECLS; in-hospital mortality 47.6%; 1 year survival 41.2% 🧠 33.3% neurologically intact at discharge 🖇️ bit.ly/4vib0dI

📖 Mobilization: Chapter 23 describes this pivotal aspect of care during #ECMO/#ECLS ⚖️ potential benefits 🚧 barriers 📋 initial assessment: cannulation sites, airway, sedation 📋 team roles 📦 equipment and preparation 📘 The Blue Book is available in ELSO online bookstore! #ICURehab 🛒 bit.ly/ELSObooks

Nitric oxide in #ECMO sweep gas may promote membrane lung longevity and maintain performance! Technical case reporting preserved function of ML in the setting of a prolonged #ECLS. A single ML functioned effectively for 5 months. . @asaiojournal.bsky.social 🖇️ bit.ly/4vcjYJj

@theelso.bsky.social · last mo.

Technical case reporting preserved function of ML in the setting of prolonged #ECLS. A single ML functioned effectively for 5 months. Evaluation of PMP ML revealed no thrombus or fibrin deposition after prolonged use with sNO. 🖇️ bit.ly/4vcjYJj Additional details on the case at 🖇️ bit.ly/4ewkz3C

Ethical dilemmas & complexities in pediatric #ECPR: qualitative study aimed to explore multidisciplinary perspectives: 📋 five major themes identified, including 1️⃣ informed consent; 2️⃣ decision-making authority; 3️⃣ past experiences; 4️⃣ end-of-life care; 5️⃣ resource allocation #PedsICU 🖇️ bit.ly/4vz8fFJ

📖 Extracorporeal elimination! Chapter 22 describes indications, technical aspects, outcomes of adjunctive extracorporeal support therapies in #ECLS 🫘 CRRT 🩸 apheresis & selective hemoadsorption 📘 Blue Book: latest edition of the ELSO #ECMO Specialist Training Manual is available! 🛒 bit.ly/ELSObooks

Neonatal & pediatric ECPR? Significant variations in clinical practice/organizational systems in #ECMO centers. Lack of high-quality evidence/guidelines key contributing factors. Limitated resources affect ability to provide consistent services. @asaiojournal.bsky.social #PedsICU 🖇️ bit.ly/4ad1ssR

@theelso.bsky.social · last mo.

Neonatal & pediatric #ECPR survey 💦 64% centers keep primed circuit 📋 68% centers have ECPR protocol 🫀 cardiac surgeon most common cannulator 🧊 71% centers did not apply cooling 💨 oxygenation/CO2 strategy varied upon initiation 🧠 44% centers have guidelines on OD/follow-up 🖇️ bit.ly/4ad1ssR

Venopulmonary #ECLS 🫀🫁 ?? Hospital outcomes, complications, survival differed according to the diagnosis leading to VP #ECMO use. Younger age, male sex, lower BMI, and no CRRT use prior to cannulation confer a lower risk of death. 🖇️ bit.ly/4uRqTrr

@theelso.bsky.social · last mo.

Venopulmonary #ECLS, an ELSO Registry analysis: 🔍 838 patients included, July 2020 to July 2024 🫀🫁 major indications: heart failure/CS 54.4%; acute respiratory failure/#ARDS 26.6% 🚧 common adverse events included need for #CRRT or AKI, infections, arrhythmias, bleedings 🖇️ bit.ly/4uRqTrr

Check our latest article on #ECMO support in adult critically ill patients, including modalities & mechanisms of benefit in 🫁 respiratory, 🫀 cardiac & 🫀🫁 cardiorespiratory failure, just out on the @atsblueeditor.bsky.social Blue Journal!! 🖇️ bit.ly/3Sk7D8m

@theelso.bsky.social · 2mo ago

#ECLS in adult critically ill patients, modalities & mechanisms of benefit in different pathophysiological states: 🫁 respiratory ECLS 🫀 cardiac #ECMO & #ECPR 🫀🫁 cardiorespiratory ECLS 🩺 bridging mechanisms and clinical heterogeneity in ECLS 🚧 limitations of ECLS 🖇️ bit.ly/3Sk7D8m

Characterization of multiple organ dysfunction patterns & their associations with in-hospital mortality for children on #ECMO #PedsICU @asaiojournal.bsky.social 🖇️ bit.ly/4gmBSW3

@theelso.bsky.social · 2mo ago

Characterization of multiple organ dysfunction for children on ECMO ⚖️ starting the day of cannulation, more ODs developed in non-survivors; difference persisted throughout run/after decannulation 🔍 opportunities to investigate + intervene on risk factors in peri-cannulation period? 🖇️ bit.ly/4gmBSW3

⏰ The abstract submission deadline for #ELSO2026 is approaching - 2️⃣ DAYS ⏰ NO extensions All accepted abstracts will be published as a supplement in @asaiojournal.bsky.social Journal. Select abstracts may be presented live 🎤. 📆 September 28 - October 1, 2026 📌 Nashville, TN 🖇️ bit.ly/ELSO2026