CT progression of a patient with GPA. Discussed in ILD conference that centrilobular nodules aren't just bronchiolitis. Can sometimes be early vasculitis. This patient needed ecmo,steroids, cytoxan,PLEX, ivig 2g/kg. #pccmsky #emimccm #ctchest #ecmo #ILD

And mortality higher in PCT guided arm! Should this have been designed as a non-inferiority trial with a 5% non-inferior mortality margin? Makes the study conclusions read very strangely #emimccm

Ards on VVA #ecmo with an impella for venting. #pocus shows reduced RVOT vti with notching. Repeat later same day after 2ng/kg/min treprostinil shows notching resolved and VTI increased 3 cm. No other changes were made in between. So many chances to nerd out on one case. #pccmsky #emimccm

“Awake” Cannulation of Patients for Venovenous Extracorporeal Membrane Oxygen: An Analysis of the Extracorporeal Life Support Organization Registry “Awake” cannulation for venovenous extracorporeal membrane oxygenation (ECMO), where patients remain spontaneously breathing without invasive mechanical ventilation during the cannulation procedure, m...

Do you cannulate ‘awake’ (non intubated) for VV ECMO? What’s your experience? Our findings using the ELSO registry match what we’ve seen @montefiorecritcare.bsky.social. About half of patients intubated at 24-hours. No mortality difference. Check it out! pmc.ncbi.nlm.nih.gov/articles/PMC... #emimccm