ECMO year in review: veno-venous ECMO

VV-ECMO: reasonable therapeutic option for patients with severe ARDS and major hypoxemia or excessive pressures; a review summarizing results of most recent trials and elaborating on the unmet needs: future trials should be designed to optimize patients management while on extracorporeal support. Schmidt M, Franchineau G, Combes A. Recent advances in venovenous extracorporeal membrane oxygenation … Read more

ECMO year in review: ethics & end-of-life

Ethics of ECLS ECMO, lifesaving but associated with several complications that may contribute to reduced survival: the equipe caring for neonates on extracorporeal support, at high mortality risk, must be deeply prepared to deal with complex clinical scenarios, but also with complex ethical issues associated with ECLS. The team must be trained to handle unsuccessful … Read more

ECMO year in review: Veno-Arterial ECLS

A two part review of post-cardiotomy ECMO in adults & pediatrics: In the adult patients, PC represent PV most frequent indication for temporary MCS; considerable variability about surgical access/cannulation still exists, with no apparent major differences in outcomes. Veno-arterial ECMO can be life-saving, and survivors have favorable early outcomes, but mortality & morbidity remain high, … Read more

ECMO year in review: Cannulation & cannulae/cannulation related complications

Cannulation strategies for veno-arterial ECMO: each one with distinct benefits & drawbacks! In this paper various techniques and their indications are discussed, from the easier/most conventional ones to more sophisticated and highly demanding strategies, as triple or quadruple cannulation, in cases of combined respiratory/cardiac failure requiring dual organ support, in cases of left ventricular stasis … Read more

ECMO year in review: ECPR

Let’s start with the American Heart Association focused update on Advanced Cardiac Life Support – ACLS, with recommendations on the use of advanced airways, vasopressors, extracorporeal during cardiac arrest; about ECMO assisted cardio-pulmonary resuscitation: there is insufficient evidence to recommend routine use of ECPR, but may be considered for selected patients as rescue therapy when … Read more

ECMO year in review: education & standardization

Fist obliged citation: the ECMOed Taskforce position paper, to describe the state of ECMO education worldwide, noting current limitations and challenges, & to put forth an educational agenda regarding opportunities for an international collaborative approach toward standardization. Zakhary B, Shekar K, Diaz R, Badulak J, Johnston L, Roeleveld PP, Alinier G, Lai PCK, Ramanathan K, … Read more

ECMOed Survey

Are you an ECMO practitioner?? Help us standardise worldwide #ECMO education! The ELSO – Extracorporeal Life Support Organization is an international non-profit consortium of health care institutions dedicated to improving extracorporeal life support through continuing education, guidelines development, research, and maintenance of a comprehensive registry of patient data. The ECMOed Taskforce is working on a collaborative approach toward standardisation … Read more

ECMOed faculty

Let’s introduce the faculty of ECMOed, the ECMO Education Taskforce of the ELSO – Extracorporeal Life Support Organization, an an international consortium of Health Care Professionals dedicated to the development and delivery of high-quality education & training in the field extracorporeal support, ECLS. To start, the creators and pillars: Mark Ogino, Elso President, Bishoy Zakhary, … Read more

Authors

Marta Velia Antonini CCN/CCP, MS @FOAMecmo on Socia Media Critical Care Nurse for I° ICU/Procurement Team University Hospital of Parma, trained as ECMO specialist, Cardiovascular Perfusionist and Sonographer, is lecturer BS in Cardiocirculatory Physiopathology and Cardiovascular Perfusion at UNIMORE, Italy. Member of Online Education WG of ECMOed and EuroELSO Steering Committee. Is ELSO Social Media … Read more

ECMOed Position Paper

Visual abstract of the position paper to describe the state of ECMO education worldwide, noting current limitations and challenges, & to put forth an educational agenda regarding opportunities for an international collaborative approach toward standardization: a statement from the ELSO – Extracorporeal Life Support Organization ECMOed Taskforce online first on Critical Care Medicine at http://bit.ly/ECMOedpospaper A dedicated twitter chat under the hashtag #ECMOedPP will … Read more