M Velia Antonini
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foamecmo.bsky.social
M Velia Antonini
@foamecmo.bsky.social
Perfusionist, E-AEC, ECMO & NRP specialist + POCUS
EuroELSO Steering C & Chair NRP Working Group
ELSOeducation taskforce
SoMe Director @TheELSO
SoMe Editor @asaiojournal
Pinned
TA #NRP in cDCD heart donors using fully mobile closed #ECMO circuit, modified to provide
🩸🌡️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
🎥 More machine now than man: mechanically assisted resuscitations session moderated by Max Hockstein & Jan Belohlavek, from day 1 of #ELSO2025, the 36th ELSO Annual Conference
🎥 Mechanically assisted resuscitation at #ELSO2025
🩺 CA physiology & therapeutic targets
⚙️mechanical CPR devices and feedback
🩸rethinking #ECMO flow
🫀ECLS for IHCA & 🚑 OHCA
To access register as virtual attendee
🔗 bit.ly/ELSO2025virt...
If you joined in Washington visit
🔗 elso2025.teneventsmedia.com
December 19, 2025 at 5:21 PM
#ECLS following aortic surgery?
🩸 strategies as standardized anticoagulation protocols,
early monitoring, meticulous hemostasis (& delayed chest closure if appropriate) essential
🧠 individualized cerebral protection, careful CPP management, preop imaging should be considered to reduce stroke risk
#ECLS following aortic surgery
🪦 mortality (8%) higher vs other groups, but not enough to consider aortic surgery as contraindication. Emergency status did not affect mortality
Better complication prevention pivotal, particularly bleedings & neuro events.
@asaiojournal.bsky.social
🔗 bit.ly/49jJAMM
December 18, 2025 at 3:07 PM
🚑 ECPR in severe trauma: how can pt dying of exsanguination, resp failure, tamponade survive prolonged no flow when chest compressions fail to circulate blood? This has parallels to paradigm shift (15y ago): brain/heart may recover after 60' CPR restoring perfusion w #ECMO
@resuscitation.bsky.social
🚑 #ECPR in severe trauma patient in CA: physiology, data, confounders. When should we try?.
Editorial
🔗 bit.ly/4jcWfV9

🚑 Refer to analysis of the ELSO registry on use of #extracorporeal cardiopulmonary resuscitation in trauma patients.
🔗 bit.ly/4rYCN2B
December 17, 2025 at 6:12 PM
Reposted by M Velia Antonini
⏰ Tomorrow at 18:00:final session

The second & last Best of ESOT Congress webinar dives into:
🧬 Transplant immunology
💡 Innovation in immunosuppression
🩺 Long-term complications

Led by Olivier Thaunat & Colin Wilson
👉 Register now & join live
Best of ESOT Congress 2025: Vol 2
go.esot.org
December 17, 2025 at 6:05 PM
Reposted by M Velia Antonini
🎵 Site survey for the @theelso.bsky.social Office & ELSO congress chair: work in progress for #ELSO2026 🎶 the 37th Annual Conference of the ELSO - Extracorporeal Life Support Organization
Save the date ‼️
📌 Nashville, Tennessee
📆 September 27 - October 1, 2026
December 16, 2025 at 8:34 PM
Any role for nitric oxide in the sweep gas flow to the membrane lung during #ECMO?? YES!
Join the 🐾 SNOOPI inaugural webinar to gain insight into
🧪 biology of NO
🩺 clinical experience & how to use
🔍 latest (& future) research
open access🔓
📆 January 12, 2026
⏰ 8-10:00 am EST
Register 🔗 bit.ly/44uFizx
December 16, 2025 at 5:43 PM
Had the honour to give the talk
🚑 #ECPR to organ donation
during the @theelso.bsky.social & @ishlt.bsky.social #ELSO2025 session: maximizing the donor pool, #ECMO driven advances in cardiothoracic #transplantation
Access to replay through the virtual platform registering at
🔗 bit.ly/ELSO2025virtual
December 14, 2025 at 6:55 PM
Reposted by M Velia Antonini
📖 Nursing #ECLS Patients: let's open the Blue Book! Chapter 5 outlines roles & responsibilities of nurses taking care of patients on #ECMO
📋 nursing scope
🩺 physical assessment
🦼 in-hospital transport
🧫 cannula management + infection prevention
🤝 patient/family involvement
🛒 bit.ly/ELSObooks
December 8, 2025 at 4:10 PM
4️⃣ strategies for #DCD lung #transplantation: recording of @ishlt.bsky.social webinar exploring approaches to donation after circulatory determination of death and LTx
🫁 EVLP - OCS
🫁 EVLP - XVIVO System: US/EU Perspectives
🔪 direct procurement
🩸 normothermic regional perfusion #NRP
🎥 bit.ly/48nKCqH
December 7, 2025 at 10:10 AM
VV #ECMO in immunocompromised patients with acute respiratory failure: careful, tailored clinical decision regarding ECMO candidacy pivotal!
@asaiojournal.bsky.social
🔗 bit.ly/4oPxFuU
VV #ECMO in immunocompromised patients with respiratory failure
🔍 systematic review/meta-analysis (13 studies)
🪦 mortality 63%, significantly higher vs immunocompetent pts
🪦 subgroup analysis highlighted only pts with hematologic malignancy exhibited significantly higher mortality
🔗 bit.ly/4oPxFuU
December 6, 2025 at 6:08 PM
ECPR in neuroleptic malignant syndrome? #ECMO may be considered as bridge to recovery while correcting extreme hyperkalemia/normalizing temperature. Timely initiation (before CA?) pivotal to improve outcome. If negative neuro-evolution opportunity of organ donation should be offered
🖇️ bit.ly/3Y7uqns
December 5, 2025 at 7:00 PM
Weaning from VV #ECMO for acute respiratory failure, current understanding/emerging data
📋 protocolized weaning in critical care & emerging evidence
🫁 approach to #ECLS weaning
🫁 physiologic predictors of successful weaning
🚧 challenges
🩺 approach to difficult-to-wean pt
#ICUrehab
🔗 bit.ly/4iImx1u
December 4, 2025 at 12:38 PM
LEVOECMO RCT
💉 levosimendan, 0.15 μg/kg/min, to be increased to 0.20 μg/kg/min after 2 h or placebo
⚖️ no significantly shorten time to successful weaning of #ECMO at day 30: routine use not supported
⚖️ run duration, #ICU LoS, 60-day mortality did not differ significantly
@jama.com
🖇️ bit.ly/4iAwGwT
LEVOECMO RCT: early administration of levosimendan to facilitate weaning from VA #ECMO in severe but potentially reversible cardiogenic shock
🔍 205 adults/11 ICUs in 🇫🇷
⚖️ early levosimendan administration did not significantly shorten the time to successful weaning of #ECLS at day 30
🔗 bit.ly/4iAwGwT
December 2, 2025 at 6:29 PM
📖 Management of anticoagulants and blood products in children and adults on #ECMO
🩸 anticoagulants: UFH & DTI
🩸 hemostatic monitoring: antiXa, AT, aPTT, ECT, plasma diluted thrombin time, coagulation factor monitoring, ACT, VET
🩸 blood products: anticoagulant reversal & adjunctive therapies
📖 Management of anticoagulants and blood products in children and adults on #ECMO: let's open Blue Book! Chapter 4 outlines the principles of anticoagulation administration/monitoring in #ECLS across all age groups & transfusion triggers/blood product administration
📘 Available at
🛒 bit.ly/ELSObooks
December 1, 2025 at 5:39 PM
Ongoing innovation + creativity help to drive #ECMO patient care forward! #PedsICU
Percutaneous multisite VV cannulation in neonates and infants could be feasible (if experienced teams), providing adequate support with smaller than recommended cannulas, and lower risk of thrombosis. Editorial
🔗 bit.ly/3KcvhQx

Refers to
🔓 bit.ly/4nNZxz0
November 29, 2025 at 2:44 PM
🎥 Adult VA #ECMO: breakout session from day 1 of #ELSO2025, the 36th @theelso.bsky.social Annual Conference
🎥 Adult VA #ECMO, day 1 #ELSO2025
🫀 what device & when for post cardiotomy shock
🫀 upper body access via axillary or subclavian artery
🫀 how to wean multiple devices
🫀 complications with vascular grafts
🎤 debate Impella 5.5 should be used in all high-risk cardiac surgery pts
🔗 bit.ly/ELSO2025virtual
November 28, 2025 at 5:21 PM
Decannulation in neonatal VA #ECMO: any impact on neuro-outcome?
☢️ prevalence of BI high (67%); routine MRI should be considered for all neonates
🧠 no association between carotid ligation/reconstruction & ischemic stroke
🧠 increased risk of high grade IVH if reconstruction
#PedsICU
🔗 bit.ly/3Kt0tei
Decannulation in neonatal VA #ECMO
🔍 single center study
⚖️ 47% carotid reconstruction, 53% ligation
☢️ high rate of abnormalities/lesions (67%) on post-weaning brain MRI
🧠 no association between ligation vs reconstruction and ischemic lesions
🧠 increased grade 2+ IVH w reconstruction
🔗 bit.ly/3Kt0tei
November 27, 2025 at 7:40 PM
Reposted by M Velia Antonini
🎥 Latest #EuroELSOwebinar: ECLS in accidental hypothermia is now available!
🧊 pathophysiology of hypothermic cardiac arrest
⚖️ HOPE Score: which hypothermic pts in CA would benefit from #ECMO rewarming
🫀 eligibility Criteria for #ECPR in hypothermic CA
Open access
🎥 youtube.com/watch?v=_PwZ_2wrf8Y
November 26, 2025 at 5:14 PM
#ECMO after acute type A aortic dissection repair? May be reasonable. Despite high morbidity/mortality (comparable to other PC #ECLS), successful myocardial recovery may be achieved with careful pt selection; pre-run lactates strong predictor for mortality
@asaiojournal.bsky.social
🔗 bit.ly/4osNasw
#ECMO post acute type A aortic dissection repair
🔍 SR/MA
🪦 weaning 48.3%, but high in-hospital mortality 72%; late mortality 5.8% per 100 person-y
🫘 AKI requiring CRRT 60.5%
🧠 neuro complications as consequence of stroke 24%
🦵🏻 limb ischemia 7.6%
🩸 bleeding requiring reoperation 29%
🔗 bit.ly/4osNasw
November 25, 2025 at 6:00 PM
📘 The Blue Book: the latest edition of the ELSO #ECMO Specialist Training Manual is NOW available in the ELSO online bookstore!
🛒 bit.ly/ELSObooks
📖 Cardiac physiology: let's open Blue Book and take a look at Chapter 3:
🩸 oxygen delivery
🫀 cardiovascular physiology during VV #ECMO
🫁 cardiovascular physiology during VA #ECMO
🫀 CO estimation
🫁 🫀 physiologic approaches to hybrid modes
🫀 single-ventricle physiology
Available at
🛒 bit.ly/ELSObooks
November 24, 2025 at 5:44 PM
🎥 #ECMO for respiratory failure: breakout session moderated by Cara Agerstrand & Eddy Fan, from day 1 of #ELSO2025, the 36th @theelso.bsky.social Annual Conference
🎥 #ECMO for respiratory failure: from day 1 of #ELSO2025:
🫁 beyond EOLIA: new populations & personalized ventilation
🫁 oxy-RVAD VP versus VV ECMO
🫁 VV ECMO to de-sedate, extubate & mobilize in hypoxic resp failure
🫁 VV #ECLS for severe asthma
Register as virtual attendee
🔗 bit.ly/ELSO2025virtual
November 23, 2025 at 12:26 PM
Perioperative #resuscitation and life support PeRLS
💦 fluid management
⛔️ preventing progression of shock to CA
🫁 RR in CA: hypo vs hyperventilation
🫀 symptomatic bradycardia
🐝 anaphylaxis
💉 LAST
🌡️ MH
💥 traumatic CA
💉 CA w neuraxial blockade
🚨 CPR, including prone position + #POCUS
🔗 bit.ly/4ir9eCf
November 23, 2025 at 9:28 AM
Antithrombin in #ECMO? AT monitoring/supplementation when using heparin anticoagulation has strong pharmacologic rationale... but any differences in mortality or hemostatic outcomes?
🩸 systematic review with meta-analysis
🔗 bit.ly/4pmRz0L
November 21, 2025 at 5:00 PM
Few will ever have the impact that Dr. Bartlett has had.
🔭 He had the ability to see something in you that you didn't see yourself
"Ten years from now grateful patients will be alive because of the research we are doing. they won't know how or why it happened without complications... but you will."
November 20, 2025 at 6:49 PM
How to use noninvasive neuromonitoring in #ICU? Exploring practical matters/challenges of combining multiple modalities
🖥️ blind-TCD (traditional nonimaging TCD)
🖥️ OSND measurement
⚡️ multichannel continuous EEG
👁️ automated pupillometry
🚨 NIRS
💀 skull extensometer
#FOAMcc
🔓 rdcu.be/eQOcT
November 19, 2025 at 7:48 PM