🎥 Virtual #ELSO2025 Is now live!
To access virtual platform (pre-conference included), available through 🗓️ January 28, 2026, register at
🔗 bit.ly/ELSO2025virtual

If you joined in Washington visit:
🔗 elso2025.teneventsmedia.com
using username/password received by email
🎓 CME/CEU for MD/RN/Pharm

Take a look at calculators section of @theelso.bsky.social #ECMO Bedside Guide
🧮 BSA
🧮 Units
🧮 Flow calculators
🧮 O2 transfer
🧮 DO2i
🧮 Estimated post-dilutional Ht
🧮 OI
🧮 P/F ratio
🧮 Recirculation %
🧮 Tubing volume constants/conversions
Apple 📱 bit.ly/ELSOBedsideG...
Android 📱 bit.ly/ELSOBedsideG...

Weaning from VA #ECMO: which approach best reflects true cardiopulmonary reserve??
🔄 PCRTO feasible/safe: retrograde flow through pump, creating controlled VA shunt mimicking native physiology, challenges RV + reducing LV afterload + enabling assessment of native lung function
🔓 rdcu.be/eJf91

#ARDS in pts with malignancies? Experience high mortality, irrespective of #ECMO. Nuanced ICU goals-of-care discussions needed, as caution when considering
#ECLS: general recommendations may not apply to this population
#FOAMcc @intenscaremed.bsky.social @schellongowski.bsky.social
🔓 rdcu.be/eI44I

Delighted to present results of my group(s) latest research on normothermic regional perfusion at #ELSO2025 in Washington!
🫘 Regional saturation directed NRP in in #DCDDs (spin off of my PhD project!)
🔓 bit.ly/489UWTC
💨 ML exhaust CO2 monitoring to guide SGF management during #NRP
🔓 bit.ly/489gYWC

#ECPR demonstration at #ELSO2025!!
ECPR may improve outcome in refractory CA if
🎓 done with a high #ECLS experience
⚖️ pts are selected well
⏱️ EBF can be initiated fast (<60')
Still to be defined ideal location ECMO to pt or pt to #ECMO?
🩺 optimal post-CA care
🚧 complications are recognized timely

#ELSO2025 Zakhary B 🪡🧵 2/2
🩸/🫀manipulate extracorporeal Blood Flow/CO ratio to acceptable goal
Equation in the slide = oxygenation on VV #ECLS assuming no native lung gas exchange
EF = effective flow = extracorporeal blood flow going to RV
CO = cardiac output
dissolved O2 component could be ignored

Hypoxemia on VV #ECMO? Develop a systematic approach
🚧 quickly rule out (with circuit check + blood gas analysis) things killing the patient rapidly but that you can quickly troubleshoot: extreme recirculation, ML failure and gas supply interruption, drainage insufficiency 
#ELSO2025 Zakhary B 🪡🧵1/2

🌡️ heat exchange
〰️ shunts accesss points, particularly useful in #PedsICU
🖥️ additional tools to provide monitoring, servoregulation and safety features
📑 data collection required for both internal/Registry use
Talk by Claire Jara at #ELSO2025 annual @theelso.bsky.social conference
🪡🧵3/3

➰tubings connecting components: keep shortest possible but long enough to allow safe movements
⛽️ pump essential to circulate blood, trying to minimize cells damage
🫁 membrane lung: mimics native lung function, supporting gas exchange
〰️ shunts/access points, particularly in #PedsICU
🧵2/3 #ELSO2025

#ECMO circuit anatomy at #ELSO2025! Ideal circuit? Able to meet pt population(s) needs, program needs and available resources. Key component remain the same
🪡 cannulae: initial selection + positioning essential, but post-insertion adjustements and long term monitoring/management pivotal, too
🪡🧵 1/3

🫁increase PEEP
🌡️ decreasing body temperature/hypothermia
Other approaches to be considered: impact of an additional cannula, ML, and/or circuit (potential good vs bad)
#ELSO2025 🪡🧵 3/3

🩸increase extracorporeal blood flow: are you able?
🩸increase DO2: PRBC transfusion
💉consider sedation/NMBAs and/or Beta-blockers
🛏️ prone positioning: is this feasible/effective on ECMO? (i have bias on this... it works & safe - in selected patients)
#ELSO2025 🪡🧵 2/3

#ICU rounds at #ELSO2025! First tricky case: refractory hypoxemia on VV #ECMO... it could be circuit problem or new pt problem. How to optimize the EBF/CO ratio to increase #ECLS support to oxygenation? Options to consider (each w pro-con, some available evidence, sometimes conflicting)
See 🪡🧵 1/3

#ELSO2025, the 36th Annual ELSO Conference just started with pre-conference here in Oxon Hill, Maryland, just outside Washington, DC
🖇️ bit.ly/ELSO2025

Finally here in 📄 paper & ink 🖋️!! The 5th #ECMO specialists training manual: the new ELSO Blue Book 📘
Available at #ELSO2025, starting tomorrow!!

With all theq ELSO publications:
📕 The ELSO Red Book 6th Edition
📘 Post-cardiotomy #ECLS & other temporary MCS in adults
📕 ECPR and Resuscitative #ECMO

The @theelso.bsky.social ECMO Bedside Guide is now available globally FREE open access for everyone interested in #ECLS! Honoured being among leads for
📋 Checklists & ⚠️ Panic button sections
Other topics
⚖️ assess candidacy
📦 equipment
🧮 calculators
💉 medications
📚 resources
📱 bit.ly/ELSOBedsideG...

#ECPR in refractory cardiac arrest in adults: marked variability in reported cost-effectiveness!
lEconomic evaluation for appropriate implementation of #ECMO in CA across various healthcare settings remains heterogeneous, highlighting the urgent need for standardised reporting
🔓 bit.ly/46IZmQ1

Get the app for 36th Annual ELSO Conference! We created an app for #ELSO2025! Use it to stay up to date with latest news & announcements, see your personal schedule, create your event profile.
📱Open the App: bit.ly/47MH3KP

- 8️⃣ days: We look forward to seeing you in DC!
🗓️ Sep 27-30
🖇️ bit.ly/ELSO2025

📢 Here's the new Blue Book! The #ECMO specialists training manual 5th
📘current best practices & advances in #ECLS for all #ECMOlogists
📘 new chapters, as Priming & End-of-Life Care (including bridge to OD and #NRP)
📘new educational resources, as #simulation training, MCQs + scenario-based questions

Recovering cardiac function through TA #NRP in DCD donors undergoing prolonged no-touch & WIT
🔍 11 HTxs from DCDDs
⏱️ prolonged fWIT 49.5 ± 11.3'
🫀 TA NRP w closed #ECMO circuit allowed function assessment/reconditioning pre procurement & SCS
⚖️ short-term outcomes similar to DBDDs
🖇️ bit.ly/4nwQZfQ

Interested in new devices?? Don't miss technology & innovation session at #ELSO2025
💨 microfluidic MLs
🚨 CARL
🫁 breethe: from pandemic & back
⚖️ optimizing care with #ECMO + another #MCS
🫀 Brio Heart & Brio VAD
🐖 ECMO & ECPella in model of CS
🗓️ Sep 27-30, 2025
📌 Washington, DC
🖇️ bit.ly/ELSO2025

🫀 Outstanding 4ᵗʰ Edition for the Bologna Heart Surgery Symposium! Thanks to the Organizers for inviting me to join the faculty to discuss about the role of a normothermic regional perfusion #NRP team to support DCD organ donation, allowing me to be part of this impressive event!
📸 Here some pics!

How to mitigate adverse hematological effects of #ECMO?
🚧 new strategies should be studied carefully before adoption
🩸 no anticoagulation safe in selected pts (eg VV adults) but unsuitable for other (ie infants)
🔬 better understanding of blood-polymer interface needed, using contemporary techniques