Pulmonary arterial pressure in VA #ECMO for patients with acute cardiogenic shock? 🔍 @ELSOOrg Registry analysis 🖥️ invasive hemodynamic status assessed at 24h PAC use alone not associated with lower mortality, but helped assess hemodynamic variables associated with lower mortality. Higher PAD at 24h significantly associated with graded increase in mortality, including if concomitant LV mechanical unloading (no significant difference in ealry PAD according to concomitant LVMU modality). Early on-support PAD potentially important hemodynamic marker during VA #ECLS. 🖇️ bit.ly/4hH8ysu

Prognostic implications of complications during veno-arterial #ECLS for cardiogenic shock 🔍 ELSO Registry analysis including > 22.5K adults 🪦 54% patients died during hospitalization; 74% non-survivors vs 54% survivors experienced complications 🧠 neuro complications increased mortality by 3.6 Complications on VA #ECMO have a significant and cumulative effect on on survival. Absolute 30-day risk of mortality greater if a complication occurred, increasing from 48.6% (0 complications) to 93.1% with neurologic complication. Neurologic and pulmonary complications associated with greatest risk 🖇️ bit.ly/4dxaHWu

🏅 I received the biggest honour of an #ECMOlogist career, being appointed as Fellowship of the Extracorporeal Life Support Organization. Pleased that the work in ECMO education and training, and in the field of DCD organ donation and Normothermic Regional Perfusion, have been among the motivations underlying this designation, recognizing an extraordinary contributions to the art and science of #ECMO and #ECLS. I would like to thank the ELSO Leadership, particularly President Daniel Brodie, the Board of Directors, the CEO @stead_christine, Peter Rycus & the whole team, @DrGilesPeek, quintessential of ECMOlogy, and all the ELSO family. I am grateful for you welcoming me many years ago, and for the trust and the confidence you had/have in my potential. I am overwhelmed, well aware of both the prestige and responsibility coming with this (undeserved) award. Standing on the shoulder of giants.

Rhythm changes during CPR: any impact on #ECPR outcome? ⚡️survival highest if persistent VF or conversion from initial non-shockable rhythm to VF ⚖️ survival lowest if conversion to or persistent non-shockable rhythm ⚖️ initial PEA & asystole? lower survival 🫀asystole at cannulation? worse outcomes + steepest survival decline with prolonged CPR These specific survival patterns, rhythm-specific, time-dependent with increasing CPR duration, underscore need for individualized, rhythm-informed/time-adapted #ECMO decision-making algorithms to optimize outcomes. #FOAMcc #FOAMecmo @ResusJournal 🔓 bit.ly/49h9vDz

The forgotten ventricle, #ECMO for RV at #ELSO2024 🫀 pathophysiology of RV function and principles 🩸 options for RV support: VV, VA, VP & more 🫁 RV support for primary pulmonary hypertension 🫀 proactive vs reactive RV support for durable #LVAD 🫀 weaning RV support: optimization & hemodynamics To access virtual platform register at 🎥 bit.ly/4eIVtft If you joined in Detroit 🎥 elso2024.vcubewebevents.com/… using username & password received by email 🎓 CME/CEU available for MD/RN/Pharm.

Pulmonary artery pressures in VA #ECMO 🫁🫀early on-ECMO PAPP & improvements in PAPP from pre-ECMO values associated with significant mortality reductions 🫁🫀failure to improve PAPP? worsened mortality Incorporation of on-ECMO PAPP & Δ PAPP into risk prediction models for cardiac #ECLS should be further investigated/considered for clinical use. 🖇️ bit.ly/3RZJFMs With editorial 🖇️ bit.ly/3Y1d4K7