theelso.bsky.social
@theelso.bsky.social
Weaning from VV #ECMO for acute respiratory failure: critical step in the recovery of patients with severe #ARDS! Optimal strategy uncertain: structured but individualized protocols, careful physiologic monitoring (+ patience) may improve outcomes, even in pts with extended runs.
🔗 bit.ly/4iImx1u
Weaning from VV #ECMO for acute respiratory failure, current understanding/emerging data
📋 protocolized weaning in critical care & emerging evidence
🫁 approach to #ECLS weaning
🫁 physiologic predictors of successful weaning
🚧 challenges
🩺 approach to difficult-to-wean pt
#ICUrehab
🔗 bit.ly/4iImx1u
December 4, 2025 at 12:40 PM
🖌️ Let's celebrate life & career of RH Bartlett in Ann Arbor
🎶 Jan 25 performance by @uofmichigan.bsky.social Life Sciences Orchestra
👏 Jan 26 memorial honoring Dr. Bartlett’s contributions as clinician, researcher, inventor, mentor, friend
🥁 Jan 26: musical tribute reflecting his love for music
December 3, 2025 at 4:53 PM
LEVOECMO RCT: early administration of levosimendan to facilitate weaning from VA #ECMO in severe but potentially reversible cardiogenic shock
🔍 205 adults/11 ICUs in 🇫🇷
⚖️ early levosimendan administration did not significantly shorten the time to successful weaning of #ECLS at day 30
🔗 bit.ly/4iAwGwT
December 2, 2025 at 6:27 PM
📖 Management of anticoagulants and blood products in children and adults on #ECMO: let's open Blue Book! Chapter 4 outlines the principles of anticoagulation administration/monitoring in #ECLS across all age groups & transfusion triggers/blood product administration
📘 Available at
🛒 bit.ly/ELSObooks
December 1, 2025 at 5:37 PM
Reposted
Ongoing innovation + creativity help to drive #ECMO patient care forward! #PedsICU
Percutaneous multisite VV cannulation in neonates and infants could be feasible (if experienced teams), providing adequate support with smaller than recommended cannulas, and lower risk of thrombosis. Editorial
🔗 bit.ly/3KcvhQx

Refers to
🔓 bit.ly/4nNZxz0
November 29, 2025 at 2:44 PM
Percutaneous multisite VV cannulation in neonates and infants could be feasible (if experienced teams), providing adequate support with smaller than recommended cannulas, and lower risk of thrombosis. Editorial
🔗 bit.ly/3KcvhQx

Refers to
🔓 bit.ly/4nNZxz0
November 29, 2025 at 2:43 PM
Reposted
🎥 Adult VA #ECMO: breakout session from day 1 of #ELSO2025, the 36th @theelso.bsky.social Annual Conference
🎥 Adult VA #ECMO, day 1 #ELSO2025
🫀 what device & when for post cardiotomy shock
🫀 upper body access via axillary or subclavian artery
🫀 how to wean multiple devices
🫀 complications with vascular grafts
🎤 debate Impella 5.5 should be used in all high-risk cardiac surgery pts
🔗 bit.ly/ELSO2025virtual
November 28, 2025 at 5:21 PM
🎥 Adult VA #ECMO, day 1 #ELSO2025
🫀 what device & when for post cardiotomy shock
🫀 upper body access via axillary or subclavian artery
🫀 how to wean multiple devices
🫀 complications with vascular grafts
🎤 debate Impella 5.5 should be used in all high-risk cardiac surgery pts
🔗 bit.ly/ELSO2025virtual
November 28, 2025 at 5:20 PM
Reposted
Decannulation in neonatal VA #ECMO: any impact on neuro-outcome?
☢️ prevalence of BI high (67%); routine MRI should be considered for all neonates
🧠 no association between carotid ligation/reconstruction & ischemic stroke
🧠 increased risk of high grade IVH if reconstruction
#PedsICU
🔗 bit.ly/3Kt0tei
Decannulation in neonatal VA #ECMO
🔍 single center study
⚖️ 47% carotid reconstruction, 53% ligation
☢️ high rate of abnormalities/lesions (67%) on post-weaning brain MRI
🧠 no association between ligation vs reconstruction and ischemic lesions
🧠 increased grade 2+ IVH w reconstruction
🔗 bit.ly/3Kt0tei
November 27, 2025 at 7:40 PM
Decannulation in neonatal VA #ECMO
🔍 single center study
⚖️ 47% carotid reconstruction, 53% ligation
☢️ high rate of abnormalities/lesions (67%) on post-weaning brain MRI
🧠 no association between ligation vs reconstruction and ischemic lesions
🧠 increased grade 2+ IVH w reconstruction
🔗 bit.ly/3Kt0tei
November 27, 2025 at 7:36 PM
🎥 Latest #EuroELSOwebinar: ECLS in accidental hypothermia is now available!
🧊 pathophysiology of hypothermic cardiac arrest
⚖️ HOPE Score: which hypothermic pts in CA would benefit from #ECMO rewarming
🫀 eligibility Criteria for #ECPR in hypothermic CA
Open access
🎥 youtube.com/watch?v=_PwZ_2wrf8Y
November 26, 2025 at 5:14 PM
#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