ECLS research

Trending topic The WHO is distributing an Interim Guidance document for the “Clinical management of severe acute respiratory infection when Novel coronavirus (nCoV) infection is suspected.” The medical community is closely monitoring the outbreak. The WHO guidance document includes a statement to “consider referral patients with refractory hypoxemia despite lung-protective ventilation. . . in settings … Read more

Global ECMO education & agenda for the future: read the ELSO ECMOed Taskforce position paper on Critical Care Medicine at http://bit.ly/ECMOedpospaper & prepare your questions/comments! a dedicated twitter chat under the hashtag #ECMOedPP will be held on Jan 9 2020, with all the ECMOed Workgroups representatives and members! at 9.00 -10.00 pm CST 10.00 – … Read more

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

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

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

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

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