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
Reposted by M Velia Antonini
🍽️ 2025 ELSO Consensus statement for provision & management of nutrition therapy in critically ill adult patients requiring #ECMO
@asaiojournal.bsky.social
🔓 bit.ly/45BLRkq
January 30, 2026 at 6:55 PM
📖 Priming the #ECMO circuit
💧 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
📖 Priming the #ECLS: let's open the Blue Book! Chapter 11 is focused on this practice, essential to initiate #ECMO support:
📦 pre-priming
💧crystalloid prime
🩸blood prime
The chapter includes online supplementary files available for download
📘 the #ECMO Specialist is available!
🛒 bit.ly/ELSObooks
January 29, 2026 at 6:24 PM
Reposted by M Velia Antonini
The ELSO Registry Data Quality and Integrity Program. The Registry is used by various stakeholders to
🥅 improve patient & institutional care quality
📊 support research
📦 support device regulation,
🖥️ monitor practice patterns
📰 share best practices.
@asaiojournal.bsky.social
🔓 bit.ly/4k9e9IX
January 28, 2026 at 4:58 PM
Ultrasound in #ECMO? #POCUS ubiquitous & indispensable in the care of #ECLS patients, from indication to choice of configuration, cannulation, monitoring, weaning and post decannulation.
@asaiojournal.bsky.social #FOAMcc #FOAMecmo #FOAMus #echofirst
🔓 bit.ly/4bUMDN6
Ultrasound in #ECMO state-of-the-art review
📚 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
January 27, 2026 at 5:06 PM
Reposted by M Velia Antonini
The January #ISHLTJournalWatch focuses on topics in #transplant #pharmacy, edited by Colleen Hutchinson. 💊

Topics include the NUDT16 genotype, #daratumumab monotherapy, & early mammalian target of rapamycin inhibitor (#mTORi).

🔗 www.ishlt.org/about/news-d...

#TransplantSky #PharmSky
Pharmacy in Heart and Lung Transplant: The Latest Studies in ISHLT Journal Watch
The first Journal Watch of 2026 explores topics in transplant pharmacy, including valganciclovir for CMV, daratumumab monotherapy, and renal sparing in heart transplant recipients.
www.ishlt.org
January 26, 2026 at 3:23 PM
Ultrafiltration in critically ill
🩺 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
January 27, 2026 at 2:28 PM
Reposted by M Velia Antonini
🎤 The celebration of the life and legacy of Dr. Robert H. Bartlett is ongoing at Hill Auditorium in Ann Arbor, MI. We are honouring the Father of #ECMO with a day of talks and tributes given by Bob's colleagues, peers, friends, family. We are uploading a photo book on our Fb page
📸 bit.ly/3NDUDrU
January 26, 2026 at 6:27 PM
Pharmacologic & toxicologic confounders in brain death determination
🧠 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
January 25, 2026 at 1:00 PM
Conversion from VV to VA or hybrid #ECMO configuration in patients treated for refractory respiratory failure developing refractory hypoxemia or hemodynamic compromise? Higher mortality/complications rate. Initial configuration selection pivotal!
@critcaremed.bsky.social
🔗 bit.ly/4pT9Na1
Conversion from VV to VA or hybrid #ECMO, analysis of ELSO Registry including 29K adults
🫀 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
January 24, 2026 at 6:41 PM
Reposted by M Velia Antonini
🎞️ Recordings of our recent webinar: ELSO Registry Tips & Tricks to Data Entry, is now available for anyone interested for everyone in the #ECMO community who wants to improve their expertise in navigating into Registry tools & optimize data entry. Open access #FOAMcc #FOAMecmo
🎥 youtu.be/VasZ-Oa7EKM
January 22, 2026 at 4:05 AM
Preoperative #ECMO in children with dextro-transposition of the great arteries undergoing arterial switch operation
⚖️ 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
Preoperative #ECMO in children with dextro-TGA undergoing arterial switch operation
🔍 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
January 19, 2026 at 4:31 PM
🎓 Education & surgical training in cardio-thoracic #transplantation webinar
🚧 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
Education and surgical training in cardio-thoracic transplantation • ESOT
bit.ly
January 18, 2026 at 11:48 AM
🖥️ ELSO Registry: Tips & Tricks to Data Entry Webinar. @theelso.bsky.social will host a webinar on tips and tricks for data entry, featuring experts from different centers. Presenters:
Save the date!
📆 January 21, 2026
⏰ 11:00-12:00 AM US Eastern Time
Register NOW
🔗 bit.ly/RegistryWebi...
🖥️ ELSO Registry: Tips & Tricks to data entry webinar
🎤 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
January 18, 2026 at 10:33 AM
VenoPulmonary #ECLS: current use across different clinical conditions, adverse events, outcomes, prognostic drivers:
🫀🫁 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
VP #ECLS: @theelso.bsky.social Registry analysis including 838 patients receiving VP as first support modality, July 2020 - July 2024
🫀🫁 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
January 17, 2026 at 5:28 PM
Alveolar gas equation and its clinical implications
🧮 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
January 17, 2026 at 10:59 AM
Reposted by M Velia Antonini
Death by neurologic criteria in neonates undergoing #ECMO
🔍 @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
Death by neurologic criteria in neonates undergoing #ECMO
🪦 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
January 16, 2026 at 6:43 PM
Death by neurologic criteria in neonates undergoing #ECMO
🪦 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
January 16, 2026 at 6:42 PM
SAVECMO study, consensus on key aspects of cannula-site infections in peripheral #ECMO:
🔍 Delphi study involving 39 international #ECLS experts
definition
🩺 suspicion & methodology for diagnosis
🧫 bacteriology
💉 treatment & treatment failure
⚠️ preventive measures
#FOAMcc #FOAMecmo
🔗 rdcu.be/eZd0g
January 15, 2026 at 3:55 PM
Reposted by M Velia Antonini
🎓 Adult #cannulation workshop including #POCUS guidance, with a team of international experts. Three 1 day hands-on sessions to learn percutaneous ECMO cannulation (VV, VA, bi-caval)
📆 April 18
📆 April 19
📆 April 20 🆕

📌 Ann Arbor MI
Register at 🎓 bit.ly/ELSOAcademy
Info 📬 [email protected]
January 14, 2026 at 7:06 AM
Reposted by M Velia Antonini
Start 2026 with #ECLS education and/or training?
🎓 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]
January 14, 2026 at 7:06 AM
Reposted by M Velia Antonini
📖 The membrane lung Chapter 9 of 📘 The Blue Book is focused on this essential component of the #ECMO circuit
🫁role
💨 how gas exchange takes place: oxygenation, CO2 removal & how to improve these
⚖️ selecting appropriate ML
🩸thrombosis
🔍 monitoring
🛒 bit.ly/ELSObooks
January 13, 2026 at 7:58 PM
Reposted by M Velia Antonini
🖥️ Coming soon ELSO Tips & Tricks Webinar: tips and tricks for data entry, featuring experts from different centers. This session will be recorded and available for anyone interested after, will be coming this month.
Save the date!
📆 January 21 2026
⏰ 11 AM US Eastern Time
More details (& link) soon!
January 12, 2026 at 7:34 PM
Rethinking where & how to deliver ECPR
⏱️ 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
January 11, 2026 at 7:27 PM
International report on OD & #transplantation activities
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
January 10, 2026 at 3:59 PM
#ECMO discontinuation due to resource limitation
🔎 >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
January 10, 2026 at 1:34 PM