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 · yesterday

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

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

Hot Topics🌡️ in ECMO: plenary session #ELSO2026 main conference day 1 ⏳ ECPR in the geriatric population 🍼 Artificial womb for extreme prematurity 🚑 ECPR ON-Scene trial 💧 Liquid ventilation on #ECMO ⚠️ Contraindications no more 📆 September 28 - October 1 📌 Nashville, TN 🖇️ bit.ly/ELSO2026

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 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

Why you should attend to #ELSO2026, 37th annual conference of the ELSO - Extracorporeal Life Support Organization?? Check our preliminary agenda!! 📆 September 28, Pre-Conference 📆 September - October 1, Main Conference 📌 Nashville, TN Registrations are open: 🖇️ bit.ly/ELSO2026

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

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

⏰ Deadline for recruiting Individual Certification Subcommittee Members has been extended to August 6 📆! 2️⃣ new volunteer opportunities for #ECMO professionals: 📋 Pod Reviewer evaluating E-AEC & E-NPEC applications 🪑 Subcommittee Chair - leadership role 🔗 Learn more + express interest bit.ly/4uSDjPV

📖 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

Recirculation in high-flow VV #ECMO in #ARDS 🖥️ recirculation assessed by #POCUS 🩸 recirculation frequent 🫀 RV dysfunction? higher RF 🩸 if relevant (≥10%), EBF was reduced by estimated recirculating volume; flow reduction feasible in most patients, and maintained adequate oxygenation 🖇️ bit.ly/3RaAsnG

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 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

🧸 Tiny Patients. Complex Circuits. Expert Training. From knowledge to action-prepare for the most complex neonatal & pediatric ECMO cases while fulfilling Step 2 of ELSO pathway toward individual certification through neo/peds #simulation course 📆 October 13-14 📌 Ann Arbor MI 🎓 bit.ly/ELSOAcademy

Hemoperfusion during #ECMO 🩸🧽 ? 🔍 SR/MA 🔎 13 studies involving >8K in adults included (3 RCTs, 10 non-RCTs) 🪦 no significant reduction in all-cause mortality with addition of hemoperfusion to #ECLS vs ECMO alone; ECMO + HP may be associated with increased mortality in RCT subgroup 🔓 rdcu.be/fuUPi

#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

Percutaneous cannulation: Practice for the expected. Prepare for the difficult. Enrol in the adult #ECMO #cannulation workshop, and train with experts! 1 day hands-on sessions 📆 Oct 10 2026 (🪑 few seats) 📆 Oct 11 📆 Nov 13 (🚦 fully booked - waitlist) 📆 Nov 14 📆 Nov 15 📌 Ann Arbor 🎓 bit.ly/ELSOAcademy

📬 Did you submit abstract(s) for #ELSO2026? Check your email: we started sending notifications about acceptance! This year, we received more than 5️⃣5️⃣0️⃣ submissions, a new record. The high quality/volume made for a very competitive review process 📋. 📆 Sep 28 - Oct 1 📌 Nashville, TN 🖇️ bit.ly/ELSO2026

📖 Transport: Chapter 24 is focused on this crucial topic 📋 nomenclature 🚑 mobile #ECMO team + role of specialist 🚁 modes of transport/considerations for choosing 📋 preparation 🛳️ considerations for international transport 📚 education 📋 quality & safety 📘 Blue Book is available at 🛒 bit.ly/ELSObooks

🎥 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

In rounds with ECMO Experts at #ELSO2026 preconference... Neo/Peds track 1️⃣ Long runs 2️⃣ RV failure 3️⃣ CDH 4️⃣ Crescent cannula 5️⃣ #ECPR 6️⃣ ECMO in transplant 7️⃣ Low fidelity ed 8️⃣ Resp failure 9️⃣ Cannulation 1️⃣0️⃣ Building QI program 1️⃣1️⃣ How i set up my circuit 🖇️ bit.ly/ELSO2026 ⏰ Early bird 🦅 pricing ends TODAY

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

❓Confused about an ELSO Registry data definition? Join the 3️⃣ live Q&A - an interactive session to bring questions about data definitions, interpretation, challenging cases. 📅 July 13, 2026 ⏰ 12:00 PM EDT 🖥️ virtual meeting 🔓 open, no registration 🔗 bit.ly/4plZZXG

Distal limb perfusion in #ECMO 🔬 in vitro study evaluating flow/pressure of sheaths w side ports vs catheter w/o 🩸 side port accounted for majority of pressure loss: likely dominant role in limiting flow. This may explain why DPCs may fail to resolve limb ischemia. 🖇️ bit.ly/4fhASRc

⏰ Deadline for recruiting Individual Certification Subcommittee Members has been extended to July 14 📆!! ELSO is excited to announce 2️⃣ new volunteer opportunities for #ECMO professionals: 📋 Pod Reviewer evaluating E-AEC & E-NPEC applications 🪑 Subcommittee Chair 🔗 bit.ly/4uSDjPV

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

📢 Congratulations to ELSO’s Incoming Steering Committee Members! Terms begin 📆 January 1, 2027. From Left: 📌 Quality Committee – Linda Edwards 🇨🇦 📌 Research Committee – Alex Supady 🇩🇪 📌 Coordinator Liaison – Jayne Sheldrake 🇦🇺 📌 Nominations & Membership Committee – Melissa Vogelsong 🇺🇸

⏰ Clock is ticking! #ELSO2026 early bird 🦅 pricing ends July 14, 2026 Check preliminary agenda and register NOW for the the 37th annual conference of the ELSO... We look forward to seeing you soon! 📆 September 28 - October 1 📌 Nashville, TN 🖇️ bit.ly/ELSO2026