M Velia Antonini
banner
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
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
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
📢 #ECLS in accidental hypothermia #EuroELSOwebinar
🧊 introduction
❄️ pathophysiology of hypothermic cardiac arrest
🫀 eligibility Criteria for #ECPR in hypothermic CA
⚖️ HOPE Score
... 🎙 & lot of discussion
🗓️ November 24 2025, 16:00-17:10 CET
Save the date & register! 🖋 www.euroelso.net/webinars/
November 18, 2025 at 1:20 PM
✈️ We just left beautiful Dublin 🇮🇪 where we had an an on-site visit at the @TheRDS to start planning #EuroELSO2026, our 14th annual congress. Stay tuned for updates: an amazing scientific & educational program under construction 🏗️
🗓️ May 6-9 2026
🔗 euroelso-congress.com/
November 17, 2025 at 5:59 PM
Critical care management of pharmaceutical poisoning
⏱️ initial assessment + #resuscitation
🔍 diagnostic approach
☠️ poisoning specific strategies
⚖️ toxicant-specific strategies + antidotes
🚨 rescue strategies including #ECMO (#ECPR, VA, VV for aspiration or inhalational injuries)
🔓 rdcu.be/ePGFM
November 13, 2025 at 10:22 AM
Mastering vasopressin in septic shock, pragmatic bedside guidance on its optimal use, emphasizing real-world constraints & evidence gaps:
💉 clinical pharmacology
⚖️ dosing
⏱️ timing
🩺 practical considerations
#FOAMcc @intenscaremed.bsky.social
🔓 rdcu.be/ePAno
November 12, 2025 at 7:37 PM
Saving blood: at all times, at all costs? On returning circuit residual volume at #ECMO weaning
⚖️ pro/con of returning vs discarding blood
🩸 considerations related to different strategies: return through pre-pump access, pre-ML, ML, post-ML, A-V bridge, and use of cell saver
🖇️ bit.ly/47JJADF
November 7, 2025 at 8:28 PM
#ECMO across perioperative stages of liver #transplantation:
📚 growing use, also intra/preop, but outcomes remain poor (better if intra/postop). Improved survival may depend on careful pt selection, optimal timing of initiation, distinguishing reversible vs irreversible pathology
🔗 bit.ly/4hLZmm7
November 6, 2025 at 5:13 PM
Upcoming one: ❄️ ECLS in accidental hypothermia
🗓️ November 24 2025, 16:00-17:10 CET
Register now! 🖋 www.euroelso.net/webinars/
🎥 PS all previous EuroELSO webinars are available on demand
🔓 bit.ly/EuroELSOyout...
November 3, 2025 at 5:15 PM
🎥 Replay of #EuroELSOwebinar: Post-Cardiotomy #ECL is now available open access enjoy! #FOAMcc #FOAMecmo
⚖️ Indications, timing and settings
🫀 Unloading, hybrid configurations & difficult cases
🖥️ Joint #ICU management: monitoring, anticoagulation, ventilation
🩺 Case
🎥 youtube.com/watch?v=AlHJ1f026AM
November 3, 2025 at 5:15 PM
📢 call for EuroELSO grant proposals 2026!
2️⃣ grants (MAX value 30K € 💶) available aimed at both adult & pediatric research equally, from healthcare professionists or research scientists
🗓️ Deadline: Dec 15, 2025
🔗 bit.ly/EuroELSOgrants
🏆 awarded candidates will present at #EuroELSO2026 in Dublin 🇮🇪
November 2, 2025 at 8:49 AM
Another successful @esicm.bsky.social & EuroELSO #ECMO workshop at #LIVES2025 in Munich 🇩🇪 !!
We had 5 sessions over 3 days
🫀VA 🫁 VV #ECLS + ECPR #simulation
🚧 circuit & complications troubleshooting
🚑 ECPR cannulation/initiation
See you at #EuroELSO2026 in Dublin 🇮🇪 & #LIVES2026 in Lisbon 🇵🇹!
October 29, 2025 at 5:07 PM
🧵 2/2 #ECMO may be reasonable
🐝 in refractory anaphylaxis
🫁 life-threatening refractory asthma
🫀 in cath-lab or after cardiac surgery if failing cCPR
🫁 if CA from confirmed/suspected PE or peripartum
amniotic fluid embolism
🧊 in life-threatening hypothermia
☠️ in poisonings
🔓 bit.ly/3LeVAWd
October 27, 2025 at 5:27 PM
Adult & pediatric special circumstances of #resuscitation: 2025 @americanheart.bsky.social guidelines are are out! While #ECMO is not available in every setting, may be considered for adults & children in CA or peri-arrest state with potentially reversible etiology
🔓 bit.ly/3LeVAWd
See thread 🧵🪡 1/2
October 27, 2025 at 5:27 PM
The ERC 2025 cardio-pulmonary resuscitation guidelines are out!
🫀 adult basic & advanced life support
🧸 pediatric life support
🍼 neonatal life support
🚧 special circumstances
🩺 post-resus care
⚖️ ethics
📋 system saving lives
🎓 education for #resuscitation
🔍 epidemiology
🩹 first aid
🔓 bit.ly/4qkPTWO
October 22, 2025 at 2:16 PM
Myth-busting on periop autologous red blood cell salvage
🚿overview of process
Myths on cell-salvaged blood
⚖️ 1️⃣ poor quality/inferior to allogeneic RBCs
🩸 2️⃣ increases bleeding
🚧 3️⃣ not safe in many surgeries
💶 4️⃣ not cost-effective
#FOAMcc @anesthesiology.bsky.social @asahq.bsky.social
🔓 bit.ly/47vZfrk
October 19, 2025 at 10:36 AM
Where does the fluid go?
💦 morphological changes/damage by fluid overload
🛌 fluid distribution in anesthesia
3️⃣ extracellular fluid compartments
💧 physiology, manipulation & max filling of slow-exchange fluid space
🔥 inflammation, capillary leakage & lymphatic flow 💦
🥚 albumin
🔓 rdcu.be/eLnfi
October 16, 2025 at 6:54 PM
Inadvertent LA return in VV #ECMO? Rare but underrecognized!
🔍 nonmultistage return cannula in fem-fem VV crossed IAS
🩸V-LA ECLS resulted in massive R-to-L shunt of hyperoxy blood
🚧 malposition not clinically evident until weaning
🩺 solved by repositioning, no IA defect at follow-up
🔗 bit.ly/3KRvCYI
October 14, 2025 at 1:57 PM
The @eacts.bsky.social Consensus on pre-emptive t #MCS in adult cardiac surgery
🔍 epidemiology
👥 heart team
🚧 high-risk pts
🪜 protected cardiac surgery classification
🫀 periop management
🩺 #ICU management
📦 device selection: #ECMO, #LVAD...
🔮 outcome
⚖️ ethics and consent
#FOAMcc
🔓 bit.ly/3J68mpo
October 14, 2025 at 5:47 AM
📢 #EuroELSOwebinar: Post-Cardiotomy #ECLS
⚖️ Indications, timing and settings
🫀 Unloading, hybrid configurations & difficult cases
🖥️ Joint #ICU management: monitoring, anticoagulation, ventilation
🩺 Clinical case - Anne Schaefer
🎙 Discussion
🗓️ October 30, 16:00 CET
🖋 www.euroelso.net/webinars/
#ECMO
October 10, 2025 at 7:12 AM
Weaning from VA #ECMO: which approach best reflects true cardiopulmonary reserve??
🔄 PCRTO feasible/safe: retrograde flow through pump, creating controlled VA shunt mimicking native physiology, challenges RV + reducing LV afterload + enabling assessment of native lung function
🔓 rdcu.be/eJf91
October 3, 2025 at 3:33 PM
Delighted to present results of my group(s) latest research on normothermic regional perfusion at #ELSO2025 in Washington!
🫘 Regional saturation directed NRP in in #DCDDs (spin off of my PhD project!)
🔓 bit.ly/489UWTC
💨 ML exhaust CO2 monitoring to guide SGF management during #NRP
🔓 bit.ly/489gYWC
September 30, 2025 at 1:39 PM
#ECPR demonstration at #ELSO2025!!
ECPR may improve outcome in refractory CA if
🎓 done with a high #ECLS experience
⚖️ pts are selected well
⏱️ EBF can be initiated fast (<60')
Still to be defined ideal location ECMO to pt or pt to #ECMO?
🩺 optimal post-CA care
🚧 complications are recognized timely
September 28, 2025 at 1:53 PM
#ELSO2025 Zakhary B 🪡🧵 2/2
🩸/🫀manipulate extracorporeal Blood Flow/CO ratio to acceptable goal
Equation in the slide = oxygenation on VV #ECLS assuming no native lung gas exchange
EF = effective flow = extracorporeal blood flow going to RV
CO = cardiac output
dissolved O2 component could be ignored
September 27, 2025 at 3:54 PM