🩸 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

📢 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...

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

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

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

🎞️ Recordings of our recent webinar: ELSO Registry Tips & Tricks to Data Entry, is now available for anyone interested for everyone in the #ECMO community who wants to improve their expertise in navigating into Registry tools & optimize data entry. Open access #FOAMcc #FOAMecmo
🎥 youtu.be/VasZ-Oa7EKM

SAVECMO study, consensus of international experts on key aspects of cannula-site infections complicating peripheral #ECMO
#FOAMcc #FOAMecmo
🔗 rdcu.be/eZd0g

SAVECMO study, consensus on key aspects of cannula-site infections in peripheral #ECMO:
🔍 Delphi study involving 39 international #ECLS experts
definition
🩺 suspicion & methodology for diagnosis
🧫 bacteriology
💉 treatment & treatment failure
⚠️ preventive measures
#FOAMcc #FOAMecmo
🔗 rdcu.be/eZd0g

PS do you want to know more about the role for NO in the SGF to the membrane lung during #ECLS? Join 🐾 SNOOPI open 🔓 webinar
🧪 biology of NO
🩺 clinical experience & how to use sNO
🔍 latest (& future) research
Register 🔗 bit.ly/44uFizx
📆 January 12, 2026
⏰ 8-10:00 am EST
#FOAMcc #FOAMecmo #PedsICU

Frailty was not associated with short or long-term mortality among #ECMO patients: a reflection of eligibility patterns (selection practices + candidacy)? @anzics.bsky.social
Open access #FOAMcc #FOAMecmo
🔓 rdcu.be/eWWRx

Antimicrobial pharmacokinetics and stewardship in critically Ill adult patients receiving #ECMO: challenges, evidence, and future directions
Open access #FOAMcc #FOAMecmo
🔓 bit.ly/45vjrbt

WEAN #ECMO survey 3/3
⛔️ perceived weaning failure mostly reflects persistent gas-exchange impairment, respiratory distress, or clinical instability
Standardization may improve comparability across centers and support future recommendations
#FOAMcc #FOAMecmo @intenscaremed.bsky.social
🔓 rdcu.be/eVTEY

Left ventricular recovery during VA #ECMO?
🫀 proposal of modified cardiac power output incorporating Pulse Pressure vs MAP, to avoid poor or absent pulsatility and/or ineffective unloading biasing its interpretation in reflecting the efficacy of organ perfusion
#FOAMcc #FOAMecmo
🔓 rdcu.be/eVDKb

🎥 Replay of #EuroELSOwebinar: Post-Cardiotomy #ECL is now available open access enjoy! #FOAMcc #FOAMecmo
⚖️ Indications, timing and settings
🫀 Unloading, hybrid configurations & difficult cases
🖥️ Joint #ICU management: monitoring, anticoagulation, ventilation
🩺 Case
🎥 youtube.com/watch?v=AlHJ1f026AM

The ASAIO Journal Supplement including all the abstracts accepted for #ELSO2025, the 36th Annual Conference of the ELSO - Extracorporeal Life Support Organization is now available! Open access #FOAMcc #FOAMecmo
📖 bit.ly/ELSO2025Asaio

Multiple #ECMO in Congenital Diaphragmatic Hernia?
Rate of CDH neonates requiring repeated #ECLS low. Reasonable survival (improving over time) observed when >1 run was offered: if no contraindications, second course should be considered, when required.
#FOAMcc #FOAMecmo #PedsICU
🔓 bit.ly/3KlHaTJ

Multiple #ECMO treatments in Congenital Diaphragmatic Hernia?
🔍 analysis of the ELSO Registry including almost 10K neonates from 1976 to 2020. Overall survival 51.9%
🔎 3.5% supported more than once: survival increased from 34.7% to 46.8% after 2010
#FOAMcc #FOAMecmo #PedsICU
🔓 bit.ly/3KlHaTJ

🎥 PS All previous EuroELSO webinars are available on demand, free open access enjoy!
🔓 bit.ly/EuroELSOyout...
#EuroELSOwebinar #FOAMcc #FOAMecmo
Background image: Hogan et al. ASAIO Journal
📘 bit.ly/3HqMoKJ

May membrane lung outlet design increase thrombogenicity??
🩸 Avoiding auxiliary objects protruding into bloodstream advisable, when designing membrane lungs, to reduce the risk of blood trauma and coagulation activation.
#FOAMcc #FOAMecmo
🔓 bit.ly/41PcPDh

#ECMO cannula dressing & cannula/tubing securement:
🔍 point prevalence study describing current practices in 11 centres across 🇦🇺 & 🇳🇿
Lack of specific evidence base guidelines results in variable practices across ICUs, and low adherence to local policies.
#FOAMcc #FOANed #FOAMecmo
🔓 bit.ly/45RvY9I

And is not only a 🍄 Fungi issue...
🧫 All that glitters is not gold!! an unusual presentation of S. aureus #sepsis during VV #ECMO: multiple & coalescent round formations appearing through venous side of this membrane lung
#FOAMcc #FOAMecmo @intenscaremed.bsky.social
🔓 rdcu.be/cEx7H

📢 ECMO and infectious disease: an interdependent relationship, EuroELSO & @escmid.bsky.social webinar
Register NOW
🖋 www.euroelso.net/webinars/
🎥 PS All previous EuroELSO webinars are available on demand, free open access enjoy!
🔓 bit.ly/EuroELSOyout...
#EuroELSOwebinar #FOAMcc #FOAMecmo

🩸Thrombocytopenia in VV #ECMO? Highly prevalent in VV ECMO patients, and strongly associated with bleeding risk and reduced survival. Platelet transfusions do not appear to significantly reduce bleeding risk: targeted prevention strategies needed!
Open access #FOAMcc #FOAMecmo
🔓 rdcu.be/ez2mh

CI, SvO2 & pCO2 in #ECMO for cardiogenic shock?
The presence of any of these criteria:
🫀 low cardiac index
🫁 high PCO2 gap
🩸 low SvO2
may indicate poor prognosis with conservative therapy & substantial mortality benefit from mechanical circulatory support. #MCS #FOAMcc #FOAMecmo
🔓 rdcu.be/ewxc9

CI, SvO2 & pCO2 in #ECMO for cardiogenic shock?
🔍 post-hoc analysis of ECMO-CS multicenter, randomized trial: immediate #ECLS initiation vs early conservative strategy in cardiogenic shock
Measurement of these parameters could improve CS management. Open access #FOAMcc #FOAMecmo
🔓 rdcu.be/ewxc9

CLEAN ECMO: extracorporeal blood purification in patients with CS who require VA #ECMO
🔍 pilot trial investigating efficacy of endotoxin & cytokine adsorption
🧽 40 patients with CS on VA #ECLS randomized to receive hemadsorption for 24 h vs standard care
#FOAMcc #FOAMecmo
🔓 rdcu.be/esu7H

VA #ECMO... a better pressor?? Any thought on this case report? What would have been your approach? Open access #FOAMcc #FOAMecmo
🔓 bit.ly/3Hi7DAp

Optimal #PEEP & recruitment-to-in patients with severe #ARDS undergoing ultra‑protective lung ventilation during VV #ECMO?
🫁 R/I ratio feasible, providing valuable indications for guiding PEEP titration
Open access #FOAMcc #FOAMecmo
🔓 rdcu.be/emH1e

Optimal #PEEP & recruitment-to-in patients with severe #ARDS on VV #ECMO
🫁 R/I ratio > 0.34 may help identify patients likely to benefit from further individualized PEEP optimization using EIT
🫁 R/I ratio ≤ 0.34? moderate PEEP (8-10 cmH₂O) may suffice
Open access #FOAMcc #FOAMecmo
🔓 rdcu.be/emH1e

🚑 Pre-hospital ECPR delivery by trained pre-hospital medical teams feasible, potentially reducing low flow times in refractory #OHCA vs hospital based programs, potentially improving geographical reach of ECPR and equity of access.
Open access #FOAMcc #FOAMres #FOAMecmo
🔓 bit.ly/45d7vMd