EuroELSO Steering C & Chair NRP Working Group
ELSOeducation taskforce
SoMe Director @TheELSO
SoMe Editor @asaiojournal
🩸🌡️effective NRP to support combined thoraco/abdominal organs recovery
🫀LV venting
🫀 fast conversion to central configuration as needed
⭕️ shunt for recirculation
🫧 air management
#FOAMcc
🔓 bit.ly/TANRPasaio
Higher volume may lead to ⬆️ experience translating to ⬆️ vigilance = early detection of ECMO complications, but also to initiation within larger, more complex population.
🖇️ bit.ly/3MP3mr1
🔎 ELSO Registry, 2018-2021
🫁 >9.4K VV, average volume 74
🫀 >10.7K VA, average volume 80
🚑 >3.5 #ECPR, average volume 89
Higher volumes associated with ⬇️ hemorrhagic complications for VA/VV, ⬆️ mechanical complications for VA (not ECPR).
🖇️ bit.ly/3MP3mr1
Higher volume may lead to ⬆️ experience translating to ⬆️ vigilance = early detection of ECMO complications, but also to initiation within larger, more complex population.
🖇️ bit.ly/3MP3mr1
⚙️ pt management
⚙️ change-out supplies/procedure
⚙️ circuit & selective components replacement: ML, pump-head/raceway, tubing, connector, stopcock/pigtail, AV bridge
⚙️ post-replacement phase
🛒 bit.ly/ELSObooks
⚙️ pt management
⚙️ change-out supplies/procedure
⚙️ circuit & selective components replacement: ML, pump-head/raceway, tubing, connector, stopcock/pigtail, AV bridge
⚙️ post-replacement phase
🛒 bit.ly/ELSObooks
🩺 indications? bowel pneumatosis, portal venous gas, free air, mesenteric edema, distention + rapid Hb decrease, increasing vasopressors or ventilatory pressure
🩸 most ischemic injuries? watershed hypoperfusion due to CS or ECMO: thromboembolism rare
🔗 bit.ly/4alLSvB
🔍 >1,3K #ECLS patients: 4% abdominal exploration
🔪 procedures pts resection of necrotic bowel, repair of perforations, other
🪦 mortality 57%; higher disease severity scores/mesenteric ischemia: significant factors influencing mortality
🔗 bit.ly/4alLSvB
🩺 indications? bowel pneumatosis, portal venous gas, free air, mesenteric edema, distention + rapid Hb decrease, increasing vasopressors or ventilatory pressure
🩸 most ischemic injuries? watershed hypoperfusion due to CS or ECMO: thromboembolism rare
🔗 bit.ly/4alLSvB
♻️ customizable low cost phantom: agar-agar, household materials, repurposed medical components
🖥️ enables #POCUS guided access, cannula insertion, EBF initiation; can be easily integrated in mannequins
@asaiojournal.bsky.social
🔓 bit.ly/4al18ZC
♻️ customizable low cost phantom: agar-agar, household materials, repurposed medical components
🖥️ enables #POCUS guided access, cannula insertion, EBF initiation; can be easily integrated in mannequins
@asaiojournal.bsky.social
🔓 bit.ly/4al18ZC
🩸 DO2/VO2 + adaptation mechanisms to Hb drop
🩸 should RBC transfusion be not only Hb based?
🩺 evidence supporting use of physiological triggers: ScvO2, A-V O2 difference, O2ER, lactate, troponin, tissue perfusion, PbtO2
🔓 rdcu.be/e31QP
🩸 DO2/VO2 + adaptation mechanisms to Hb drop
🩸 should RBC transfusion be not only Hb based?
🩺 evidence supporting use of physiological triggers: ScvO2, A-V O2 difference, O2ER, lactate, troponin, tissue perfusion, PbtO2
🔓 rdcu.be/e31QP
🔓 www.youtube.com/watch?v=egV63igN41g
🚁 Organization & patient selection: Dutch HEMS experience
🩺 Practical aspects of cannulation/initial management
🔓 www.youtube.com/watch?v=egV63igN41g
🚁 Organization & patient selection: Dutch HEMS experience
🩺 Practical aspects of cannulation/initial management
🫁 ΔP = Pplat - total PEEP
🫁 PL = Paw - Ppl (Ppl approximated by Pes)
🗝️ key advantage of PL? allows to distinguish lung vs chest wall mechanics
ΔP enables individualization of VT according to size of baby lung; PL allows to titrate PEEP
#FOAMcc
🔓 rdcu.be/e3TSf
🫁 ΔP = Pplat - total PEEP
🫁 PL = Paw - Ppl (Ppl approximated by Pes)
🗝️ key advantage of PL? allows to distinguish lung vs chest wall mechanics
ΔP enables individualization of VT according to size of baby lung; PL allows to titrate PEEP
#FOAMcc
🔓 rdcu.be/e3TSf
📅 18 Feb | ⏰ 7:30pm GMT
💻 Online
🔗 tinyurl.com/liverkidneyt...
#TransplantMedicine #LiverKidney #BTPT #Nephrology #Hepatology
1️⃣ Welcome
2️⃣ Renaissance man
3️⃣ The Clinician
4️⃣ Clinical researcher & inventor
5️⃣ ECMO origins
6️⃣ Maturation of ECMO
7️⃣ ELSO - Bob's vision for a global #ECMO community
8️⃣ The patients' view
9️⃣ Lessons from Bob
1️⃣0️⃣ Closing remarks
1️⃣1️⃣ Music program
1️⃣ Welcome
2️⃣ Renaissance man
3️⃣ The Clinician
4️⃣ Clinical researcher & inventor
5️⃣ ECMO origins
6️⃣ Maturation of ECMO
7️⃣ ELSO - Bob's vision for a global #ECMO community
8️⃣ The patients' view
9️⃣ Lessons from Bob
1️⃣0️⃣ Closing remarks
1️⃣1️⃣ Music program
@asaiojournal.bsky.social
🔓 bit.ly/4at1snM
))))) noninvasive approach using acoustic measurements
🩸 compared with visual observations total accuracy 84%; hypothesizing that some false positives were indicators of clots, the accuracy may be up to 96%
@asaiojournal.bsky.social
🔓 bit.ly/4at1snM
@asaiojournal.bsky.social
🔓 bit.ly/4at1snM
Open access #FOAMcc #FOAMecmo
🔓 rdcu.be/e28tP
🐖 8 pigs with severe #ARDS randomized after VV initiation
🫁 PP did not reduce the overall extent/severity of lung injury but shifted distribution of damage, with greater involvement of dependent regions and relative preservation of non-dependent areas.
🔓 rdcu.be/e28tP
🔎 80 pts allocated to circuits integration vs separation
⚖️ no significant difference in filter lifespan
🪦 comparable mortality
🫧 no differences in serious adverse events including air embolism
🔓 rdcu.be/e2FyX
🔎 80 pts allocated to circuits integration vs separation
⚖️ no significant difference in filter lifespan
🪦 comparable mortality
🫧 no differences in serious adverse events including air embolism
🔓 rdcu.be/e2FyX
🖥️ circuit: pressures, EBF meters, air/bubble detectors, OxyHb monitoring, temperature
🖥️ patient: arterial BP, SpO2, Sc/SVO2, rSO2, EtCO2, PAC, #POCUS, neuromonitoring
📘 the #ECMO Specialist Training Manual
🛒 bit.ly/ELSObooks
🖥️ circuit: pressures, EBF meters, air/bubble detectors, OxyHb monitoring, temperature
🖥️ patient: arterial BP, SpO2, Sc/SVO2, rSO2, EtCO2, PAC, #POCUS, neuromonitoring
📘 the #ECMO Specialist Training Manual
🛒 bit.ly/ELSObooks
☢️ 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
🖇️ bit.ly/3OkAPKd
🫀 RAA more frequently resulted in retrograde flow, particularly in type III arch
🫀 LAA promoted antegrade or arch-split flow: may provide more favourable antegrade flow, particularly if CO impaired
🖇️ bit.ly/3OkAPKd
☢️ 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
🖇️ bit.ly/3OkAPKd
🚁 Organization and patient selection: Dutch HEMS experience
🩺 Cannulation and initial management
🎤 Q/A
📆 Feb 10 2026, 15:30 CET
Register 🖋 www.euroelso.net/webinars/
Lectures in 🇬🇧
Q/A translated in 🇪🇸
🚁 Organization and patient selection: Dutch HEMS experience
🩺 Cannulation and initial management
🎤 Q/A
📆 Feb 10 2026, 15:30 CET
Register 🖋 www.euroelso.net/webinars/
Lectures in 🇬🇧
Q/A translated in 🇪🇸
🎯 accurate interpretation
🫀 physiological insights: aortic pressure, arterial compliance, reflection waves, peripheral BP
🩺 applications & targets: MAP/organ perfusion, PP/DV, DBP/vascular tone, SBP/LV afterload
🌊 PPV & fluid responsiveness
#FOAMcc
🔓 bit.ly/3LJYsva
🎯 accurate interpretation
🫀 physiological insights: aortic pressure, arterial compliance, reflection waves, peripheral BP
🩺 applications & targets: MAP/organ perfusion, PP/DV, DBP/vascular tone, SBP/LV afterload
🌊 PPV & fluid responsiveness
#FOAMcc
🔓 bit.ly/3LJYsva
@asaiojournal.bsky.social
🔓 bit.ly/45BLRkq
@asaiojournal.bsky.social
🔓 bit.ly/45BLRkq
💧 pre-priming: rationale
📦 considerations, storage, management
💧crystalloid prime procedure
💧fluid selection: NS vs balanced crystalloid solutions
🩸blood prime: steps & considerations
The chapter includes online files for download (checklists + editable labels)... Enjoy
📦 pre-priming
💧crystalloid prime
🩸blood prime
The chapter includes online supplementary files available for download
📘 the #ECMO Specialist is available!
🛒 bit.ly/ELSObooks
💧 pre-priming: rationale
📦 considerations, storage, management
💧crystalloid prime procedure
💧fluid selection: NS vs balanced crystalloid solutions
🩸blood prime: steps & considerations
The chapter includes online files for download (checklists + editable labels)... Enjoy
🥅 improve patient & institutional care quality
📊 support research
📦 support device regulation,
🖥️ monitor practice patterns
📰 share best practices.
@asaiojournal.bsky.social
🔓 bit.ly/4k9e9IX
🥅 improve patient & institutional care quality
📊 support research
📦 support device regulation,
🖥️ monitor practice patterns
📰 share best practices.
@asaiojournal.bsky.social
🔓 bit.ly/4k9e9IX
@asaiojournal.bsky.social #FOAMcc #FOAMecmo #FOAMus #echofirst
🔓 bit.ly/4bUMDN6
📚 training for #ultrasound in #ECLS
🖥️ choice of mode
🫀🫁 US pre Initiation in CS & respiratory failure
🍼 neonatal & pediatric considerations #PedsICU
🖥️ role for cannulation
🖥️ monitoring & troubleshooting
🖥️ vascular US
🧠 neuro US
🖥️ weaning
🔓 bit.ly/4bUMDN6
@asaiojournal.bsky.social #FOAMcc #FOAMecmo #FOAMus #echofirst
🔓 bit.ly/4bUMDN6
Topics include the NUDT16 genotype, #daratumumab monotherapy, & early mammalian target of rapamycin inhibitor (#mTORi).
🔗 www.ishlt.org/about/news-d...
#TransplantSky #PharmSky
Topics include the NUDT16 genotype, #daratumumab monotherapy, & early mammalian target of rapamycin inhibitor (#mTORi).
🔗 www.ishlt.org/about/news-d...
#TransplantSky #PharmSky
🩺 physiological effects & response to UF
🖥️ monitoring & guidance
💦 UF intolerance
🫀 intolerance endotypes: preload dependence, cardiac dysfunction, ⬇️ vascular tone, autonomic dysfunction, ⬇️ vascular refill
🪡🧵 rationale & step towards personalized UF
🔓 rdcu.be/e0XBg
🩺 physiological effects & response to UF
🖥️ monitoring & guidance
💦 UF intolerance
🫀 intolerance endotypes: preload dependence, cardiac dysfunction, ⬇️ vascular tone, autonomic dysfunction, ⬇️ vascular refill
🪡🧵 rationale & step towards personalized UF
🔓 rdcu.be/e0XBg
📸 bit.ly/3NDUDrU
📸 bit.ly/3NDUDrU
🧠 coma
🧠 BD & death by neurologic criteria
💉 controversies in existing BD declaration guidelines
🚧 PK & PD challenges: hypothermia, organ failure, obesity, prolonged infusions, toxicokinetics
🛟 ancillary testing
🔓 rdcu.be/e0C9u
🧠 coma
🧠 BD & death by neurologic criteria
💉 controversies in existing BD declaration guidelines
🚧 PK & PD challenges: hypothermia, organ failure, obesity, prolonged infusions, toxicokinetics
🛟 ancillary testing
🔓 rdcu.be/e0C9u
@critcaremed.bsky.social
🔗 bit.ly/4pT9Na1
🫀 2.4% received a change from original configuration, 56.8% to VA, 43.2% to hybrid #ECLS
⚖️ increased clinical & circuit complications reported in converted patients; in-hospital mortality higher
🔗 bit.ly/4pT9Na1
@critcaremed.bsky.social
🔗 bit.ly/4pT9Na1