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
#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
Neuro-complications during VA #ECMO & implications for pt-centered outcomes
🧠 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
Neurological complications during VA #ECMO
🫀 >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
November 19, 2025 at 4:30 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
Reposted by M Velia Antonini
📖 Respiratory physiology and gas exchange: Blue Book - Chapter 2
🫁 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
November 17, 2025 at 3:51 PM
Ultra-low-field portable MRI on #ECMO in #PedsICU?? Timely/accurate ABI diagnosis first step to providing appropriate neurocritical care/improvr neuro-outcome.
pMRI feasible with less resource use, less interruptions of therapies, no risks associated w transport/radiation exposure.
🔓 bit.ly/3LOxP7H
Ultra-low-field portable MRI during #ECMO
🧠 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
November 16, 2025 at 7:50 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
#Trauma: contraindication for extracorporeal support in patients evolving to cardiac arrest?? NO! #ECPR can be used to restore circulation in trauma patients with CA! @theelso.bsky.social Registry analysis 2020-2024: survival? Higher than expected! @resuscitation.bsky.social
#FOAMcc
🔓 bit.ly/3LtxJCz
#ECPR in trauma patients with CA
🔍 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
November 12, 2025 at 5:31 PM
How not to panic on #ECMO?? Take a look at the ⚠️ Panic Button section of @theelso.bsky.social Bedside Guide!
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...
Take a look at the ⚠️ Panic Button section of the ELSO's #ECMO Bedside Guide
🩸 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...
November 11, 2025 at 8:20 PM
VV multisite #ECMO in neonates & small children?
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
VV multisite #ECMO in neonates & smaller children <15 kg with severe resp failure
🔪 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
November 10, 2025 at 6:13 PM
Returning of #ECMO circuit residual volume at weaning
⚖️ pro/con & 🩸 different strategies
for high resolution supplementary images
🖇️ bit.ly/3LtrL4t
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 9, 2025 at 6:19 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
Reposted by M Velia Antonini
#ECMO in liver #transplantation:
🔍 @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
#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 5:15 PM
Reposted by M Velia Antonini
📦📦 Wrapping up an amazing week in Ann Arbor with 2️⃣ Adult #ECMO #simulation course: a total of 5️⃣8️⃣ learners strong! Huge thanks to our dedicated faculty & enthusiastic learners for making courses both educational and fun ‼️ Next sessions
🗓️ April 14-15 & 16-17 2026
📍 Ann Arbor MI
🎓 bit.ly/ELSOAcademy
November 7, 2025 at 5:09 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
Reposted by M Velia Antonini
Tilt bed for mobilization on #ECMO?? Seems safe & effective strategy to facilitate #ICUrehab! These beds may provide reasonable alternative or additive therapy to out-of-bed mobility, particularly among centers that lack staffing or experience to safely coordinate ambulation.
🔗 bit.ly/4hKcJ6x
November 5, 2025 at 4:49 PM
Reposted by M Velia Antonini
📘 The Blue Book: the latest edition of ELSO ECMO Specialist Training Manual is NOW available
🛒 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.
November 4, 2025 at 5:11 AM
🎥 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