theelso.bsky.social
@theelso.bsky.social
#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 5:40 PM
Reposted
📘 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
📖 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
Reposted
🎥 #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
🎥 #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 12:24 PM
Reposted
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
Antithrombin in #ECMO:
🔍 SR/MA to evaluate safety & efficacy of AT; 11 studies (mostly observational) included
🩸 AT supplementation resulted in no difference in bleeding & thrombotic events, or mortality
⚖️ pediatric patients receiving AT more likely to experience thrombotic event
🔗 bit.ly/4pmRz0L
November 21, 2025 at 4:59 PM
Reposted
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
Honoring the Life and Legacy of Dr. Robert H. Bartlett - Grand Rounds today at the Department of Cardiac Surgery of Michigan Medicine, with James Mault, Jennifer C. Romano, Kristopher Barrett Deatrick, Alvaro Rojas-Peña, celebrating their and our mentor.
November 20, 2025 at 6:47 PM
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 4:28 PM
Save the date 🖌️ for a celebration of the life and career of RH Bartlett, by Michigan Medicine and ELSO at Hill Auditorium
🎶 Jan 25: performance by Life Sciences Orchestra
👏 Jan 26: celebration/tributes
🥁 evening, Jan 26: Performance by @umich.edu Marching Band and Men’s Glee Club

Details to come!
November 18, 2025 at 8:36 PM
Reposted
📢 #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
📖 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
Reposted
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
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 7:45 PM
🎥 Learning from tough cases at virtual #ELSO2025!
⚖️ #ECLS, ethics, end-of-life in a resource limited scenario
⚙️ Troubleshoot misbehaving circuit
🫀 VA #ECMO in severe AR
🫀Temporary #MCS
⚖️ Pediatric pt with capacity: who should make decisions?
🔗 bit.ly/ELSO2025virtual
🔗 elso2025.teneventsmedia.com
November 14, 2025 at 5:02 PM
#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 5:28 PM
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 8:19 PM
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 6:09 PM
#ECMO cannulation Workshop ongoing in Ann Arbor, MI! This ELSO hands-on event is aimed to learn how to perform percutaneous VV & VA #ECLS cannulation with a team of international experts, training on realistic #simulation models!
📫 [email protected]
November 9, 2025 at 9:15 PM
📰 @nytimes.com celebrates life & work Dr Bartlett: Robert H Bartlett, father of innovative life-support system, dies at 86. He developed extracorporeal membrane oxygenation, or #ECMO, a treatment that can sustain patients whose hearts and lungs are failing, for days, weeks or longer
🖇️ bit.ly/4qKFt3b
November 8, 2025 at 7:45 PM
📦📦 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 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
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
📘 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