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
@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
🎥 youtu.be/VasZ-Oa7EKM
🎥 youtu.be/VasZ-Oa7EKM
⚖️ 70% ASO on ECMO: more complications/higher mortality (61%) vs preop weaning
If possible preASO ECLS weaning may improve outcome?
@pedcritcaremed.bsky.social #PedsICU
🔗 bit.ly/4bCrU0n
🔍 analysis of ELSO Registry, 2000-22
🍼 100 neonates aged up to 21 days
🪦 overall mortality 33%
⚖️ 70% underwent ASO on #ECLS; they had more complications/higher mortality (61%) vs those weaned preop
🔗 bit.ly/4bCrU0n
⚖️ 70% ASO on ECMO: more complications/higher mortality (61%) vs preop weaning
If possible preASO ECLS weaning may improve outcome?
@pedcritcaremed.bsky.social #PedsICU
🔗 bit.ly/4bCrU0n
🚧 Challenges
How I do...
🫀heart #transplant
🫁 lung Tx
🫀🫁 heart-lung Tx
❓Q/A
📆 February 5, 2026 ⏰ 18:00-19:00 CET
Register at 🔗 bit.ly/3NrmEmr
🖥️ organized by @esottransplant.bsky.social ECTTA and Education Committee
🚧 Challenges
How I do...
🫀heart #transplant
🫁 lung Tx
🫀🫁 heart-lung Tx
❓Q/A
📆 February 5, 2026 ⏰ 18:00-19:00 CET
Register at 🔗 bit.ly/3NrmEmr
🖥️ organized by @esottransplant.bsky.social ECTTA and Education Committee
Save the date!
📆 January 21, 2026
⏰ 11:00-12:00 AM US Eastern Time
Register NOW
🔗 bit.ly/RegistryWebi...
🎤 overview of registry/tools available
🎤 manual data entry
🎤 Redcap/XML & automated XML submission
🎤 third-party data abstraction
📆 January 21
⏰ 11-12 AM US ET
Register 🔗 bit.ly/RegistryWebi...
🎥 Replay will be available www.youtube.com/@TheELSO
Save the date!
📆 January 21, 2026
⏰ 11:00-12:00 AM US Eastern Time
Register NOW
🔗 bit.ly/RegistryWebi...
🫀🫁 VP #ECMO chiefly used for HF/CS (54.4%) and ARF/ARDS (26.6%): hospital outcomes, complications and survival differed according to diagnosis leading to VP ECLS 🔗 bit.ly/4pKMHSS
🫀🫁 chiefly used for HF/CS or ARF/ARDS
🪦 60-day mortality 49.3%; advanced age, female sex, BMI, CRRT use prior to cannulation predictors of death
🔗 bit.ly/4pKMHSS
🫀🫁 VP #ECMO chiefly used for HF/CS (54.4%) and ARF/ARDS (26.6%): hospital outcomes, complications and survival differed according to diagnosis leading to VP ECLS 🔗 bit.ly/4pKMHSS
🧮 derivation & application of AGE
💨 fraction of inspired oxygen
💨 atmospheric pressure
🩸PaCO2 & respiratory exchange ratio
🫁 alveolar O2 partial pressure & A–a gradient in the approach of hypoxemia and pulmonary shunt
#FOAMcc
🔓 rdcu.be/eZtD8
🧮 derivation & application of AGE
💨 fraction of inspired oxygen
💨 atmospheric pressure
🩸PaCO2 & respiratory exchange ratio
🫁 alveolar O2 partial pressure & A–a gradient in the approach of hypoxemia and pulmonary shunt
#FOAMcc
🔓 rdcu.be/eZtD8
🔍 @theelso.bsky.social Registry Study, 2010–2023, including about 15K neonates (≤28 days old, born after 37 weeks gestation) on #ECLS
🪦 DNC rarely diagnosed: 0.5% neonates
⏱️ 84% DNC diagnoses occurred after 24 hours of run
🔓 bit.ly/49zx4sV
🪦 DNC rare: 0.5%, 2% of overall mortality
⚖️ factors associated w greater risk pre-ECMO CA, severe acidosis, cardiac support/central cannulation, hyperoxemia
Optimizing #ECLS management pivotal!
@pedcritcaremed.bsky.social
🔓 bit.ly/49zx4sV
🔍 @theelso.bsky.social Registry Study, 2010–2023, including about 15K neonates (≤28 days old, born after 37 weeks gestation) on #ECLS
🪦 DNC rarely diagnosed: 0.5% neonates
⏱️ 84% DNC diagnoses occurred after 24 hours of run
🔓 bit.ly/49zx4sV
🪦 DNC rare: 0.5%, 2% of overall mortality
⚖️ factors associated w greater risk pre-ECMO CA, severe acidosis, cardiac support/central cannulation, hyperoxemia
Optimizing #ECLS management pivotal!
@pedcritcaremed.bsky.social
🔓 bit.ly/49zx4sV
🪦 DNC rare: 0.5%, 2% of overall mortality
⚖️ factors associated w greater risk pre-ECMO CA, severe acidosis, cardiac support/central cannulation, hyperoxemia
Optimizing #ECLS management pivotal!
@pedcritcaremed.bsky.social
🔓 bit.ly/49zx4sV
🔍 Delphi study involving 39 international #ECLS experts
definition
🩺 suspicion & methodology for diagnosis
🧫 bacteriology
💉 treatment & treatment failure
⚠️ preventive measures
#FOAMcc #FOAMecmo
🔗 rdcu.be/eZd0g
🔍 Delphi study involving 39 international #ECLS experts
definition
🩺 suspicion & methodology for diagnosis
🧫 bacteriology
💉 treatment & treatment failure
⚠️ preventive measures
#FOAMcc #FOAMecmo
🔗 rdcu.be/eZd0g
📆 April 18
📆 April 19
📆 April 20 🆕
📌 Ann Arbor MI
Register at 🎓 bit.ly/ELSOAcademy
Info 📬 [email protected]
📆 April 18
📆 April 19
📆 April 20 🆕
📌 Ann Arbor MI
Register at 🎓 bit.ly/ELSOAcademy
Info 📬 [email protected]
🎓 Adult ECMO #simulation course on VA & VV ECMO, through hands on learning and troubleshooting scenarios of clinical cases. Two 1 ½ day sessions
📆 April 14-15
📆 April 16-17
📌 Ann Arbor MI
Register at 🎓 bit.ly/ELSOAcademy
Info 📬 [email protected]
🎓 Adult ECMO #simulation course on VA & VV ECMO, through hands on learning and troubleshooting scenarios of clinical cases. Two 1 ½ day sessions
📆 April 14-15
📆 April 16-17
📌 Ann Arbor MI
Register at 🎓 bit.ly/ELSOAcademy
Info 📬 [email protected]
🫁role
💨 how gas exchange takes place: oxygenation, CO2 removal & how to improve these
⚖️ selecting appropriate ML
🩸thrombosis
🔍 monitoring
🛒 bit.ly/ELSObooks
🫁role
💨 how gas exchange takes place: oxygenation, CO2 removal & how to improve these
⚖️ selecting appropriate ML
🩸thrombosis
🔍 monitoring
🛒 bit.ly/ELSObooks
Save the date!
📆 January 21 2026
⏰ 11 AM US Eastern Time
More details (& link) soon!
Save the date!
📆 January 21 2026
⏰ 11 AM US Eastern Time
More details (& link) soon!
⏱️ time? central physiologic determinant
🪂 system determines benefit
🩺 in H #ECPR: reliability/constraints
🚑 preH & hybrid ECPR: overcoming geography/time
⚖️ population impact: survival + organ donation
🪖 lessons from special operations forces
🔗 bit.ly/3LzXZLE
⏱️ time? central physiologic determinant
🪂 system determines benefit
🩺 in H #ECPR: reliability/constraints
🚑 preH & hybrid ECPR: overcoming geography/time
⚖️ population impact: survival + organ donation
🪖 lessons from special operations forces
🔗 bit.ly/3LzXZLE
1️⃣ deceased OD activity including data on DCDD 🔎
2️⃣ living donation activity 🔍
3️⃣ global organ transplant activity 🌏
4️⃣ evolution of activities by @WHO region 🗺️
5️⃣ waiting lists 📋
6️⃣ transplants performed abroad/non-residents Tx 🧳
🔗 bit.ly/45LCnTo
1️⃣ deceased OD activity including data on DCDD 🔎
2️⃣ living donation activity 🔍
3️⃣ global organ transplant activity 🌏
4️⃣ evolution of activities by @WHO region 🗺️
5️⃣ waiting lists 📋
6️⃣ transplants performed abroad/non-residents Tx 🧳
🔗 bit.ly/45LCnTo
🔎 >161K runs: EDRL 0.19%, 25% #PedsICU
🗺️ Latin America & Southwest Asia/Africa high EDRL rate
Resource limitation uncommon indication for decannulation, but increased over time, outpacing rise in #ECLS use
@asaiojournal.bsky.social
🔗 bit.ly/4syWcXT
🔎 >161K runs: EDRL 0.19%, 25% #PedsICU
🗺️ Latin America & Southwest Asia/Africa high EDRL rate
Resource limitation uncommon indication for decannulation, but increased over time, outpacing rise in #ECLS use
@asaiojournal.bsky.social
🔗 bit.ly/4syWcXT