This study could either result in no evidence of an effect, which would teach us nothing, or evidence of an effect of immediate vs delay of at least 15min. But this would also teach us nothing about the question "(in which cases) should we perform #ECLS?" #EMSky
Grateful for an incredible couple of days at @sccmcriticalcare.bsky.social & ELSO #SCCM2026 pre-conference #ECMO #simulation course!
🎓 From lectures to hands-on learning - the depth of discussion and collaboration continues to push our #ECLS practice forward!
Are you/your team in need of an excellent #ECLS education and/or training opportunity?? Join one of the ELSO courses & workshops next fall 🍂
🎓 Adult #ECMO simulation course
🎓 Neo/Peds ECMO #simulation course
🎓 Cannulation workshop
🎓 bit.ly/ELSOAcademy
📬 ecmotraining@elso.org
📢 Here's the upcoming #EuroELSOwebinar: Evolving concepts in anticoagulation and antiplatelets in VA #ECMO #ECPR & VV #ECLS
🗓️ March 25 2026, 16:00-17:00 CET
Register now! 🖋 www.euroelso.net/webinars/
🎥 PS all EuroELSO webinars are available on demand, open access! #FOAMcc
🔓 bit.ly/EuroELSOyout...
📖 VV #ECMO in adults! Chapter 15 is focused on adult in respiratory failure
🩸 cannulation
📋 nomenclature for #ECLS configurations
💨 hypoxemia/hypercapnia on VV ECMO
🫁 ventilation/proning
🫁 weaning
📘 Blue Book: latest edition of ELSO
#ECMO Specialist Training Manual is available
🛒 bit.ly/ELSObooks
#ECMO without anticoagulation: are we there yet?
🩸 Novel coatings, strategies as NO in SGF, new anticoagulants hold promise of reduce risks. Awaiting further evidence, anticoagulation-free #ECLS should be an exception, maybe safe in some highly selected adults on VV with relatively high blood flows.
#ECMO without systemic anticoagulation? Editorial
🔗 bit.ly/4u6yqUd
🩸 Refers to study investigating association between systemic anticoagulation & outcomes in patients with #ARDS receiving VV #ECLS. Authors observed no link between systemic anticoagulation and
short-term survival.
🔗 bit.ly/3P1pkrv
📦📦 #ECMO Equipment survey!!
ELSO is surveying ECMO centers to understand #ECLS equipment availability challenges and how these affect care/case volume. Your confidential input will help guide engagement with regulators and industry.
📆 Respond by March 31, 2026.
🖋️ bit.ly/ECMOEquip2026
Antimicrobial stewardship in #ECMO? Challenging & evolving discipline, w limited data available!
🧫 PK alterations induced by circuits + prolonged ICU stays + high infection risk make optimal ABT therapy complex. Evidence for use of stewardship in #ICU remains applicable to #ECLS.
🔗 bit.ly/4cXVzlj
Antimicrobial stewardship in #ECMO
🧫 infections & 🧪 infection biomarkers during #ECLS
💉 PK/PD & appropriate antimicrobial dosing
💉 antibiotic prophylaxis in ECMO: yes or no?
🔮 empirical ABTS and circuit/cannula change
🩺 ABT stewardship and diagnostic
🚧 infection control strategies
🔗 bit.ly/4cXVzlj
Prolonged VA #ECMO? Characterizing patients requiring long run in the PRECISE-ECLS cohort
🔍 29% prolonged #ECLS
🔎 1y mortality/HRQoL comparable for pts who received support for 7 days/longer
A prediction model may assist in decision-making regarding treatment goals beyond first week
🔓 rdcu.be/e6gIm
📢 Our newsletter is out!
🖋️ Message from our President
📆 Mark calendars: #ECMO Team Day is May 8th!
🛏 Circuit Chatter: special edition
📃 News from ELSO Committees
📆 Save the date for #ELSO2026
🌏 #ECLS around the world, updates from ELSO Chapters
🖋️ CEO remarks & more!
🔗 bit.ly/2IR8RCl
📖 VV #ECMO in children Chapter 14 is focused on neonates and pediatric patients experiencing respiratory failure:
🫁 history of veno-venous #ECLS
🫁 neonatal respiratory ECMO
🫁 pediatric VV ECMO
🫁 patients & circuit management
📘 The Blue Book is available in our bookstore!
🛒 bit.ly/ELSObooks
🚡 #KeystoneECMO, the #ECMO & the advanced therapies for cardiovascular and respiratory failure conference, is ongoing in Colorado! 🌨️
The 42nd Annual Children's National Symposium is addressing the educational needs of health care workers involved in the care of patients in #ECLS.
Understanding when not to start #ECLS is equally as important as knowing when to withdraw – new #editorial from Rajsic et al.
www.bjanaesthesia.org/article/S0007-0912(25)00...
🫁 M Baram will present on VV #ECLS: principles of pt selection, physiology, management strategies to optimize respiratory support
🫀P Mason will present on VA #ECMO: hemodynamic support, decision-making, complexities of managing pts requiring cardiac/cardiopulmonary support
🔗 bit.ly/49nEhL5
#SCCM2026
⚙️ #ECMO continues to evolve: education remains foundation of safe, effective care!
Join ELSO & @sccmcriticalcare.bsky.social pre #SCCM2026 course for two exceptional 1️⃣ day programs to strengthen clinical understanding and decision-making across #ECLS
📌 Chicago, IL
📅 March 20 & 21
🔗 bit.ly/49nEhL5
Temporary mechanical support in fulminant myocarditis
🔍 patients treated with VA #ECMO and/or #Impella from FULLMOON study
🫀 FM requiring t-MCS associated with high 1-year mortality = 36%, even if young cohort: rapid recognition + timely transfer to specialized #ECLS centers pivotal
🔓 rdcu.be/e4IBX
#ECMO center volume: any association with #ECLS related complications? Analysis of @theelso.bsky.social Registry.
Higher volume may lead to ⬆️ experience translating to ⬆️ vigilance = early detection of ECMO complications, but also to initiation within larger, more complex population.
🖇️ bit.ly/3MP3mr1
📘 Blue Book: #ECMO Specialist Training Manual chapter 13, #ECLS circuit & component changes
⚙️ pt management
⚙️ change-out supplies/procedure
⚙️ circuit & selective components replacement: ML, pump-head/raceway, tubing, connector, stopcock/pigtail, AV bridge
⚙️ post-replacement phase
🛒 bit.ly/ELSObooks
Exploratory laparotomy in patients on #ECMO
🔍 >1,3K #ECLS patients: 4% abdominal exploration
🔪 procedures pts resection of necrotic bowel, repair of perforations, other
🪦 mortality 57%; higher disease severity scores/mesenteric ischemia: significant factors influencing mortality
🔗 bit.ly/4alLSvB
Prone positioning in VV #ECMO?? no net physiological benefit after #ECLS initiation in this animal model 🐖 with severe #ARDS randomized after VV initiation to prone or supine positioning for 48 h, receiving an ultraprotective MV strategy 🫁
Open access #FOAMcc #FOAMecmo
🔓 rdcu.be/e28tP
📖 Monitoring #extracorporeal circuit and pt on #ECLS: Blue Book, chapter 12
🖥️ circuit: pressures, EBF meters, air/bubble detectors, OxyHb monitoring, temperature
🖥️ patient: arterial BP, SpO2, Sc/SVO2, rSO2, EtCO2, PAC, #POCUS, neuromonitoring
📘 the #ECMO Specialist Training Manual
🛒 bit.ly/ELSObooks
📖 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
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
Getinge Reports Strong Q4 and Full-Year Growth Amid Challenges for 2025 #Sweden #Gothenburg #Getinge #ECLS #Cardiosave
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
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
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
