📢 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...
ICU Rounds:
I don’t want to brag about myself but 2 days ago I managed *without giving albumin* a septic patient who was on norepinephrine 0.32 mcg/kg/min & vasopressin 0.04 u/min & had an albumin of 1.5 g/dl. Today he is off pressors. Who could imagine?
#foamed #foamcc #meded #medsky #emimcc
🩸 Hemorrhagic risk in VA #ECMO is complex! RBC transfusion exposure is by far higher than in other critically ill populations. #ECPR & antiplatelets act as additional risk factors. Transfusion practice for variable, does not always follow international guidelines.
#FOAMcc #FOAMecmo
🔓 rdcu.be/e70k0
ICU Rounds:
I don’t want to brag about myself but today I resisted the cardiology team’s request to start bumetanide drip and albumin in a patient with fluid overload
#foamed #foamcc #meded #medsky #emimcc
📢 The immunocompromised child on #ECMO joint EuroELSO, PediECMO & @espnic.bsky.social webinar
📆 Monday, March 9 2026, 16 CET
Save the date & register now! 🖋 bit.ly/3Nce76T
🎥 PS all previous EuroELSO webinars are available on demand, free open access enjoy! #FOAMcc #FOAMecmo
🔓 bit.ly/EuroELSOyout...
Understanding lung physiology through ventilator screen
🫁 airway pressure waveform: equation of motion, conductive P, stress index, DP
🌊 flow waveform during PCV
💨 expiratory flow/time constant
🛌 dynamic bedside maneuvers: AOP, recruitability & recruitment-to-inflation ratio
#FOAMcc
🔓 rdcu.be/e6iG6
Argatroban in #ECMO? First prospective randomized controlled pilot trial to compare argatroban vs UFH as first line maintenance anticoagulation
🩸no difference in incidence/time to event regarding bleeding events/thrombosis
🩸RBCs/PLTS transfusion requirement similar
#FOAMcc #FOAMecmo
🔓 bit.ly/4szm05J
The evolution of acute pulmonary embolism classification (including the recently published 2026AHA/ACC/ACCP/ACEP/CHEST/
SCAI/SHM/SIR/SVM/SVN Guideline):
#foamed #foamcc #meded #Medsky #emimcc
🪡🧵 PE 2026 guideline 4/4
💉in patients with acute PE (categories C-E) who require sedation for intubation, hemodynamic supportive therapies (vasopressors, inotropes, and/or #ECMO) should be available in the event the patient becomes unstable
Open access #FOAMcc
🔓 bit.ly/4tNACzF
or 🔓 bit.ly/4b0JZoe
🪡🧵 PE 2026 guideline 3/4
🚑 for pts with acute PE hemodynamically stable but at high-risk (categories C3-D), transferring to center that can provide advanced therapies, including #ECMO, may be considered to ensure access to appropriate interventions
Open #FOAMcc
🔓 bit.ly/4tNACzF
or 🔓 bit.ly/4b0JZoe
Too much of a good thing? Hyperoxemia in acute brain injured pts
🧠 hypoxic-ischaemic encephalopathy
🧠 other acute brain injuries
How to balance competing risks of hypo vs hyperoxemia? Hypoxemia to be vigilantly avoided but excessive O2 exposure may contribute to secondary BI #FOAMcc
🔓 rdcu.be/e4wuW
Homemade simple, low-cost, eco-friendly, versatile #ECMO cannulation model providing a practical/accessible alternative to commercial simulation training models, promoting broader implementation of training programs.
Open access #FOAMcc @asaiojournal.bsky.social
🔓 bit.ly/4al18ZC
Driving vs transpulmonary pressure?
🫁 ΔP = Pplat - total PEEP
🫁 PL = Paw - Ppl (Ppl approximated by Pes)
🗝️ key advantage of PL? allows to distinguish lung vs chest wall mechanics
ΔP enables individualization of VT according to size of baby lung; PL allows to titrate PEEP
#FOAMcc
🔓 rdcu.be/e3TSf
Explore the latest in ultrasound for regional anaesthesia and POCUS, with trending topics, educational insights, and upcoming events. #FOAMed #POCUS #FOAMcc
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
Bronchoscopy-optimized settings: inspiratory flow ≤ 25 l/min, tidal volume = 5ml/kg, 1s ≤ inspiratory time ≤ 1.3s, respiratory frequency = 16 breaths/min, positive end-expiratory pressure = 5cmH2O
Kudos to the authors!
#foamed #foamcc #meded #Medsky #pulmsky #emimcc
What’s the best site for chest compressions?
Probably mid-LV
Guideline recommended location overlies the LV in the minority of cases
TTE may be a good tool to better localize mid LV and thus optimal compression location (esp if TEE unavailable)
#foamcc
www.sciencedirect.com/science/arti...
Invasive ABP? True monitoring tool
🎯 accurate interpretation
🫀 physiological insights: aortic pressure, arterial compliance, reflection waves, peripheral BP
🩺 applications & targets: MAP/organ perfusion, PP/DV, DBP/vascular tone, SBP/LV afterload
🌊 PPV & fluid responsiveness
#FOAMcc
🔓 bit.ly/3LJYsva
#Minocycline therapy initiated within 72 h of acute ischemic #stroke provided a significant functional outcome benefit compared with placebo at 90 days
#foamed #foamcc #meded #Medsky #emimcc
@pulmcrit.bsky.social has to update the chapter!
www.thelancet.com/journals/lan...
ICU Secrets:
Although tachypnea is a concerning clinical finding, it is important to note that respiratory rate alone does not reliably reflect the degree of respiratory effort
#foamed #foamcc #meded #medsky #emimcc
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
I am reading this old study of 16 out-of-hospital PEA patients. The researchers used #POCUS plus stable PetCO2 during #CPR pauses to identify pseudo-PEA & administered vasopressin. This led to improved outcomes
Does anybody have any experience with this strategy?
#foamed #foamcc #medsky #emimcc
