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/4osNasw
🔍 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
@asaiojournal.bsky.social
🔗 bit.ly/4osNasw
🛒 bit.ly/ELSObooks
🩸 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
🛒 bit.ly/ELSObooks
🫁 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
💦 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
💦 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
🩸 systematic review with meta-analysis
🔗 bit.ly/4pmRz0L
🩸 systematic review with meta-analysis
🔗 bit.ly/4pmRz0L
🔭 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."
🔭 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."
🖥️ blind-TCD (traditional nonimaging TCD)
🖥️ OSND measurement
⚡️ multichannel continuous EEG
👁️ automated pupillometry
🚨 NIRS
💀 skull extensometer
#FOAMcc
🔓 rdcu.be/eQOcT
🖥️ blind-TCD (traditional nonimaging TCD)
🖥️ OSND measurement
⚡️ multichannel continuous EEG
👁️ automated pupillometry
🚨 NIRS
💀 skull extensometer
#FOAMcc
🔓 rdcu.be/eQOcT
🧠 neurologic complications frequent & increased risk of in-hospital death/disability
Prevention + better BI prognostication tools to should be research priority to improve outcomes.
@critcaremed.bsky.social
🔗 bit.ly/4r2FJul
🫀 >700 adults on VA #ECLS (no #ECPR) in 30 🇦🇺 🇳🇿 ICUs
🔍 69.3% died or had new disability at 6 months
🧠 neurologic complications 12%; these increased risk of death & disability + led commonly to discontinuation due to perceived poor prognosis
🔗 bit.ly/4r2FJul
🧠 neurologic complications frequent & increased risk of in-hospital death/disability
Prevention + better BI prognostication tools to should be research priority to improve outcomes.
@critcaremed.bsky.social
🔗 bit.ly/4r2FJul
🧊 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/
🧊 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/
🗓️ May 6-9 2026
🔗 euroelso-congress.com/
🗓️ May 6-9 2026
🔗 euroelso-congress.com/
🫁 native gas exchange
💨 oxygenation
🩸 O2 content & Hb
🩸 DO2 and VO2
💨 CO2
⚙️ physiology of #ECLS
🩸 DO2 and CO2 removal in ECLS
📘 In the ELSO #ECMO Specialist Training Manual 5th ed
🛒 bit.ly/ELSObooks
🫁 native gas exchange
💨 oxygenation
🩸 O2 content & Hb
🩸 DO2 and VO2
💨 CO2
⚙️ physiology of #ECLS
🩸 DO2 and CO2 removal in ECLS
📘 In the ELSO #ECMO Specialist Training Manual 5th ed
🛒 bit.ly/ELSObooks
pMRI feasible with less resource use, less interruptions of therapies, no risks associated w transport/radiation exposure.
🔓 bit.ly/3LOxP7H
🧠 16 neonates/peds had pMRI (0.064 Tesla) attempted, 11 completed full imaging
☢️ median staff required = 6
☢️ median pMRI positioning + imaging time 66'
🚧 no relevant complications/safety events
🖥️ image quality adequate in majority
🔓 bit.ly/3LOxP7H
pMRI feasible with less resource use, less interruptions of therapies, no risks associated w transport/radiation exposure.
🔓 bit.ly/3LOxP7H
⏱️ 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
⏱️ 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
💉 clinical pharmacology
⚖️ dosing
⏱️ timing
🩺 practical considerations
#FOAMcc @intenscaremed.bsky.social
🔓 rdcu.be/ePAno
💉 clinical pharmacology
⚖️ dosing
⏱️ timing
🩺 practical considerations
#FOAMcc @intenscaremed.bsky.social
🔓 rdcu.be/ePAno
#FOAMcc
🔓 bit.ly/3LtxJCz
🔍 ELSO Registry analysis
🚑 17.9% received #ECMO because of traumatic CA, ⅓ #OHCA. Survival 29.2%
🚑 82.1% because of CA of medical etiology; survival 37.3%
ECPR may result in higher-than-expected survival, evenmin patients with traumatic CA.
#FOAMcc
🔓 bit.ly/3LtxJCz
#FOAMcc
🔓 bit.ly/3LtxJCz
You can use this free app to learn/train your team on how to manage emergencies during the run!
Apple 📱 bit.ly/ELSOBedsideG...
Google Play 📱 bit.ly/ELSOBedsideG...
🩸 accidental decannulation
🫧🫧 air in the circuit
🩸blood out of the circuit
🫀cardiac arrest
⛔️ NO flow
🚨 coming off #ECLS emergently
The app is free open access
Apple 📱 bit.ly/ELSOBedsideG...
Android 📱 bit.ly/ELSOBedsideG...
You can use this free app to learn/train your team on how to manage emergencies during the run!
Apple 📱 bit.ly/ELSOBedsideG...
Google Play 📱 bit.ly/ELSOBedsideG...
Increasingly used to avoid neurologic risk of VA #ECLS & technical difficulties of DLCs!
⚖️ percutaneous cannulas smaller vs surgical but
🩸 adequate flows delivered w 10 Fr access/8 return in neonates + 12 access/10 return in older pts
🔓 bit.ly/4nNZxz0
🔪 surgical VV cannulation associated with greater risk of thrombosis at vessel sites vs percutaneous technique; no significant at 1y. Potential confounder: surgical group younger + smaller weight
🔓 bit.ly/4nNZxz0
Increasingly used to avoid neurologic risk of VA #ECLS & technical difficulties of DLCs!
⚖️ percutaneous cannulas smaller vs surgical but
🩸 adequate flows delivered w 10 Fr access/8 return in neonates + 12 access/10 return in older pts
🔓 bit.ly/4nNZxz0
⚖️ pro/con & 🩸 different strategies
for high resolution supplementary images
🖇️ bit.ly/3LtrL4t
⚖️ 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
⚖️ pro/con & 🩸 different strategies
for high resolution supplementary images
🖇️ bit.ly/3LtrL4t
⚖️ 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
⚖️ 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
🔍 @mayoclinic.org experience, largest 🇺🇸 series to date
🩺 overall survival suboptimal: 33.3%; all pts discharged from hospital were alive at 1 y
🚧 significant complications: #AKI requiring CRRT (40%), neuro-complications (40%), bleeding
🔗 bit.ly/4hLZmm7
📚 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
🔍 @mayoclinic.org experience, largest 🇺🇸 series to date
🩺 overall survival suboptimal: 33.3%; all pts discharged from hospital were alive at 1 y
🚧 significant complications: #AKI requiring CRRT (40%), neuro-complications (40%), bleeding
🔗 bit.ly/4hLZmm7
🗓️ April 14-15 & 16-17 2026
📍 Ann Arbor MI
🎓 bit.ly/ELSOAcademy
🗓️ April 14-15 & 16-17 2026
📍 Ann Arbor MI
🎓 bit.ly/ELSOAcademy
📚 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
📚 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
🔗 bit.ly/4hKcJ6x
🔗 bit.ly/4hKcJ6x
🛒 bit.ly/ELSObooks
📖 Let's open the book and start with Dedication, with immense gratitude and affection, to Robert & Wanda Bartlett. Dr Bartlett wrote Foreword of Blue Book.
🛒 bit.ly/ELSObooks
📖 Let's open the book and start with Dedication, with immense gratitude and affection, to Robert & Wanda Bartlett. Dr Bartlett wrote Foreword of Blue Book.
⚖️ Indications, timing and settings
🫀 Unloading, hybrid configurations & difficult cases
🖥️ Joint #ICU management: monitoring, anticoagulation, ventilation
🩺 Case
🎥 youtube.com/watch?v=AlHJ1f026AM
⚖️ Indications, timing and settings
🫀 Unloading, hybrid configurations & difficult cases
🖥️ Joint #ICU management: monitoring, anticoagulation, ventilation
🩺 Case
🎥 youtube.com/watch?v=AlHJ1f026AM