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#ecls — Public Fediverse posts

Live and recent posts from across the Fediverse tagged #ecls, aggregated by home.social.

  1. Kodierhilfe 2026: ECLS & ECMO
    Hinweise zu Kodierung und Vergütung – Update 2026 Extracorporeal Life Support (ECLS) & Extracorporeal Membrane Oxygenation (ECMO) Cardiohelp System und Rotaflow II-System
    #537b #8851 #8852 #DRG2026 #ECLS #ECMO #Getinge #Intensivmedizin #IntensivmedizinischeKomplexbehandlung #Kodierhilfe2026 #Kodierleitfaden2026 #Kodierung #OPS2026 #Reimbursement2026 #Zusatzentgelte

    medconweb.de/blog/finanzierung

  2. Thrombolysis before VA #ECMO cannulation in high-risk pulmonary embolism
    🔍 72 high-risk PE pts; 43% underwent pre-ECMO thrombolysis
    🩸incidence of moderate-to-severe bleeding notably elevated in both groups
    🪦 no difference in 90-day survival if systemic thrombolysis or not
    🗓️ long-term QoL acceptable; no chronic thromboembolic pulmonary hypertension
    Recent systemic thrombolysis, as a single parameter, should not be considered contraindication for #ECLS in this population
    🔓 rdcu.be/dLOBk

  3. Thrombolysis before VA #ECMO cannulation in high-risk pulmonary embolism
    🔍 72 high-risk PE pts; 43% underwent pre-ECMO thrombolysis
    🩸incidence of moderate-to-severe bleeding notably elevated in both groups
    🪦 no difference in 90-day survival if systemic thrombolysis or not
    🗓️ long-term QoL acceptable; no chronic thromboembolic pulmonary hypertension
    Recent systemic thrombolysis, as a single parameter, should not be considered contraindication for #ECLS in this population
    🔓 rdcu.be/dLOBk

  4. Thrombolysis before VA #ECMO cannulation in high-risk pulmonary embolism
    🔍 72 high-risk PE pts; 43% underwent pre-ECMO thrombolysis
    🩸incidence of moderate-to-severe bleeding notably elevated in both groups
    🪦 no difference in 90-day survival if systemic thrombolysis or not
    🗓️ long-term QoL acceptable; no chronic thromboembolic pulmonary hypertension
    Recent systemic thrombolysis, as a single parameter, should not be considered contraindication for #ECLS in this population
    🔓 rdcu.be/dLOBk

  5. Thrombolysis before VA #ECMO cannulation in high-risk pulmonary embolism
    🔍 72 high-risk PE pts; 43% underwent pre-ECMO thrombolysis
    🩸incidence of moderate-to-severe bleeding notably elevated in both groups
    🪦 no difference in 90-day survival if systemic thrombolysis or not
    🗓️ long-term QoL acceptable; no chronic thromboembolic pulmonary hypertension
    Recent systemic thrombolysis, as a single parameter, should not be considered contraindication for #ECLS in this population
    🔓 rdcu.be/dLOBk

  6. Thrombolysis before VA #ECMO cannulation in high-risk pulmonary embolism
    🔍 72 high-risk PE pts; 43% underwent pre-ECMO thrombolysis
    🩸incidence of moderate-to-severe bleeding notably elevated in both groups
    🪦 no difference in 90-day survival if systemic thrombolysis or not
    🗓️ long-term QoL acceptable; no chronic thromboembolic pulmonary hypertension
    Recent systemic thrombolysis, as a single parameter, should not be considered contraindication for #ECLS in this population
    🔓 rdcu.be/dLOBk

  7. Consumptive coagulopathy during #ECLS
    🔎 close monitoring & follow up pivotal during the #ECMO run
    ⛔️ giving platelets/clotting factors to fix numbers often worsens underlying process
    🩸 low doses of anticoagulants may protect both circuit (vs thrombotic complications) & patient (vs bleeding & thrombosis)
    ⛔️ bleeding complications should NOT always prompt complete cessation of UFH
    Detailed underlying pathophysiological process & physiological rationale free to read #FOAMcc
    🔓 rdcu.be/dLmXO

  8. Consumptive coagulopathy during #ECLS
    🔎 close monitoring & follow up pivotal during the #ECMO run
    ⛔️ giving platelets/clotting factors to fix numbers often worsens underlying process
    🩸 low doses of anticoagulants may protect both circuit (vs thrombotic complications) & patient (vs bleeding & thrombosis)
    ⛔️ bleeding complications should NOT always prompt complete cessation of UFH
    Detailed underlying pathophysiological process & physiological rationale free to read #FOAMcc
    🔓 rdcu.be/dLmXO

  9. Consumptive coagulopathy during #ECLS
    🔎 close monitoring & follow up pivotal during the #ECMO run
    ⛔️ giving platelets/clotting factors to fix numbers often worsens underlying process
    🩸 low doses of anticoagulants may protect both circuit (vs thrombotic complications) & patient (vs bleeding & thrombosis)
    ⛔️ bleeding complications should NOT always prompt complete cessation of UFH
    Detailed underlying pathophysiological process & physiological rationale free to read #FOAMcc
    🔓 rdcu.be/dLmXO

  10. Consumptive coagulopathy during #ECLS
    🔎 close monitoring & follow up pivotal during the #ECMO run
    ⛔️ giving platelets/clotting factors to fix numbers often worsens underlying process
    🩸 low doses of anticoagulants may protect both circuit (vs thrombotic complications) & patient (vs bleeding & thrombosis)
    ⛔️ bleeding complications should NOT always prompt complete cessation of UFH
    Detailed underlying pathophysiological process & physiological rationale free to read #FOAMcc
    🔓 rdcu.be/dLmXO

  11. Consumptive coagulopathy during #ECLS
    🔎 close monitoring & follow up pivotal during the #ECMO run
    ⛔️ giving platelets/clotting factors to fix numbers often worsens underlying process
    🩸 low doses of anticoagulants may protect both circuit (vs thrombotic complications) & patient (vs bleeding & thrombosis)
    ⛔️ bleeding complications should NOT always prompt complete cessation of UFH
    Detailed underlying pathophysiological process & physiological rationale free to read #FOAMcc
    🔓 rdcu.be/dLmXO

  12. 📢 June issue of Intensive Care Medicine is now available!!
    💦 European Society of Intensive Care Medicine (ESICM) fluid therapy guidelines
    🗺️ critical care in LMICs
    🩸emergency chemotherapy for hematological patients in #ICU
    🫘 #RRT in PedsICU
    🧫 #sepsis & bloodstream infection
    🫁 proning in #ECMO
    🫁 Pes
    🫀 #ECLS in cardiogenic shock
    🧠 neuromonitoring
    & more! Full texts free to read #FOAMcc if you follow the links we share in our social media posts... enjoy!
    📎 bit.ly/ICMJun2024

  13. 📢 June issue of Intensive Care Medicine is now available!!
    💦 European Society of Intensive Care Medicine (ESICM) fluid therapy guidelines
    🗺️ critical care in LMICs
    🩸emergency chemotherapy for hematological patients in #ICU
    🫘 #RRT in PedsICU
    🧫 #sepsis & bloodstream infection
    🫁 proning in #ECMO
    🫁 Pes
    🫀 #ECLS in cardiogenic shock
    🧠 neuromonitoring
    & more! Full texts free to read #FOAMcc if you follow the links we share in our social media posts... enjoy!
    📎 bit.ly/ICMJun2024

  14. 📢 June issue of Intensive Care Medicine is now available!!
    💦 European Society of Intensive Care Medicine (ESICM) fluid therapy guidelines
    🗺️ critical care in LMICs
    🩸emergency chemotherapy for hematological patients in #ICU
    🫘 #RRT in PedsICU
    🧫 #sepsis & bloodstream infection
    🫁 proning in #ECMO
    🫁 Pes
    🫀 #ECLS in cardiogenic shock
    🧠 neuromonitoring
    & more! Full texts free to read #FOAMcc if you follow the links we share in our social media posts... enjoy!
    📎 bit.ly/ICMJun2024

  15. 📢 June issue of Intensive Care Medicine is now available!!
    💦 European Society of Intensive Care Medicine (ESICM) fluid therapy guidelines
    🗺️ critical care in LMICs
    🩸emergency chemotherapy for hematological patients in #ICU
    🫘 #RRT in PedsICU
    🧫 #sepsis & bloodstream infection
    🫁 proning in #ECMO
    🫁 Pes
    🫀 #ECLS in cardiogenic shock
    🧠 neuromonitoring
    & more! Full texts free to read #FOAMcc if you follow the links we share in our social media posts... enjoy!
    📎 bit.ly/ICMJun2024

  16. 📢 June issue of Intensive Care Medicine is now available!!
    💦 European Society of Intensive Care Medicine (ESICM) fluid therapy guidelines
    🗺️ critical care in LMICs
    🩸emergency chemotherapy for hematological patients in #ICU
    🫘 #RRT in PedsICU
    🧫 #sepsis & bloodstream infection
    🫁 proning in #ECMO
    🫁 Pes
    🫀 #ECLS in cardiogenic shock
    🧠 neuromonitoring
    & more! Full texts free to read #FOAMcc if you follow the links we share in our social media posts... enjoy!
    📎 bit.ly/ICMJun2024

  17. Cardiogenic shock in 2024:
    🫀 #extracorporeal life support #ECLS
    🫀 left ventricular unloading strategies in #ECMO
    strategies & evidence from recent trials (& beyond)
    Free to read #FOAMcc #FOAMecmo on @ICM
    🔓 rdcu.be/dHzLz

  18. Cardiogenic shock in 2024:
    🫀 #extracorporeal life support #ECLS
    🫀 left ventricular unloading strategies in #ECMO
    strategies & evidence from recent trials (& beyond)
    Free to read #FOAMcc #FOAMecmo on @ICM
    🔓 rdcu.be/dHzLz

  19. Cardiogenic shock in 2024:
    🫀 #extracorporeal life support #ECLS
    🫀 left ventricular unloading strategies in #ECMO
    strategies & evidence from recent trials (& beyond)
    Free to read #FOAMcc #FOAMecmo on @ICM
    🔓 rdcu.be/dHzLz

  20. Cardiogenic shock in 2024:
    🫀 #extracorporeal life support #ECLS
    🫀 left ventricular unloading strategies in #ECMO
    strategies & evidence from recent trials (& beyond)
    Free to read #FOAMcc #FOAMecmo on @ICM
    🔓 rdcu.be/dHzLz

  21. Cardiogenic shock in 2024:
    🫀 #extracorporeal life support #ECLS
    🫀 left ventricular unloading strategies in #ECMO
    strategies & evidence from recent trials (& beyond)
    Free to read #FOAMcc #FOAMecmo on @ICM
    🔓 rdcu.be/dHzLz

  22. ⏱️ #ARDS? first 24 h should be time stamped:
    1️⃣ 🔍 first 3h of non-invasive/invasive respiratory support: rule in diagnosis
    2️⃣ ⚖️ first 12h: decide to continue NIV or institute IMV
    3️⃣ 🫁 first 6h: implement low Vt strategies & optimization based on Pplat & DP
    4️⃣ 🫁 first 12h: Initiate/optimize PEEP
    5️⃣ 🛌 first 12-24h: prone eligible pts
    6️⃣ 🩸 first 3-6h: #ECLS in patients meeting EOLIA criteria, depending on severity + response to previous interventions + risk/benefit profile
    🔓 rdcu.be/dGXCI

  23. ⏱️ #ARDS? first 24 h should be time stamped:
    1️⃣ 🔍 first 3h of non-invasive/invasive respiratory support: rule in diagnosis
    2️⃣ ⚖️ first 12h: decide to continue NIV or institute IMV
    3️⃣ 🫁 first 6h: implement low Vt strategies & optimization based on Pplat & DP
    4️⃣ 🫁 first 12h: Initiate/optimize PEEP
    5️⃣ 🛌 first 12-24h: prone eligible pts
    6️⃣ 🩸 first 3-6h: #ECLS in patients meeting EOLIA criteria, depending on severity + response to previous interventions + risk/benefit profile
    🔓 rdcu.be/dGXCI

  24. ⏱️ #ARDS? first 24 h should be time stamped:
    1️⃣ 🔍 first 3h of non-invasive/invasive respiratory support: rule in diagnosis
    2️⃣ ⚖️ first 12h: decide to continue NIV or institute IMV
    3️⃣ 🫁 first 6h: implement low Vt strategies & optimization based on Pplat & DP
    4️⃣ 🫁 first 12h: Initiate/optimize PEEP
    5️⃣ 🛌 first 12-24h: prone eligible pts
    6️⃣ 🩸 first 3-6h: #ECLS in patients meeting EOLIA criteria, depending on severity + response to previous interventions + risk/benefit profile
    🔓 rdcu.be/dGXCI

  25. ⏱️ #ARDS? first 24 h should be time stamped:
    1️⃣ 🔍 first 3h of non-invasive/invasive respiratory support: rule in diagnosis
    2️⃣ ⚖️ first 12h: decide to continue NIV or institute IMV
    3️⃣ 🫁 first 6h: implement low Vt strategies & optimization based on Pplat & DP
    4️⃣ 🫁 first 12h: Initiate/optimize PEEP
    5️⃣ 🛌 first 12-24h: prone eligible pts
    6️⃣ 🩸 first 3-6h: #ECLS in patients meeting EOLIA criteria, depending on severity + response to previous interventions + risk/benefit profile
    🔓 rdcu.be/dGXCI

  26. ⏱️ #ARDS? first 24 h should be time stamped:
    1️⃣ 🔍 first 3h of non-invasive/invasive respiratory support: rule in diagnosis
    2️⃣ ⚖️ first 12h: decide to continue NIV or institute IMV
    3️⃣ 🫁 first 6h: implement low Vt strategies & optimization based on Pplat & DP
    4️⃣ 🫁 first 12h: Initiate/optimize PEEP
    5️⃣ 🛌 first 12-24h: prone eligible pts
    6️⃣ 🩸 first 3-6h: #ECLS in patients meeting EOLIA criteria, depending on severity + response to previous interventions + risk/benefit profile
    🔓 rdcu.be/dGXCI

  27. Prone positioning on #ECMO for severe #ARDS??
    🚦PRO: Performed in experienced/highly specialized centers, PP feasible/safe promising option
    🔓 rdcu.be/dGIMf
    🚦CON: according to PRONECMO trial results, PP during #ECLS did not yield significant benefits vs supine position.
    🔓 rdcu.be/dGILB
    🚦NOT SURE: How to reconcile the results of high-quality, negative RCT with preexisting favorable observational data?
    🔓 rdcu.be/dGINm
    All free to read #FOAMcc #FOAMecmo on @ICM

  28. Prone positioning on #ECMO for severe #ARDS??
    🚦PRO: Performed in experienced/highly specialized centers, PP feasible/safe promising option
    🔓 rdcu.be/dGIMf
    🚦CON: according to PRONECMO trial results, PP during #ECLS did not yield significant benefits vs supine position.
    🔓 rdcu.be/dGILB
    🚦NOT SURE: How to reconcile the results of high-quality, negative RCT with preexisting favorable observational data?
    🔓 rdcu.be/dGINm
    All free to read #FOAMcc #FOAMecmo on @ICM

  29. Prone positioning on #ECMO for severe #ARDS??
    🚦PRO: Performed in experienced/highly specialized centers, PP feasible/safe promising option
    🔓 rdcu.be/dGIMf
    🚦CON: according to PRONECMO trial results, PP during #ECLS did not yield significant benefits vs supine position.
    🔓 rdcu.be/dGILB
    🚦NOT SURE: How to reconcile the results of high-quality, negative RCT with preexisting favorable observational data?
    🔓 rdcu.be/dGINm
    All free to read #FOAMcc #FOAMecmo on @ICM

  30. Prone positioning on #ECMO for severe #ARDS??
    🚦PRO: Performed in experienced/highly specialized centers, PP feasible/safe promising option
    🔓 rdcu.be/dGIMf
    🚦CON: according to PRONECMO trial results, PP during #ECLS did not yield significant benefits vs supine position.
    🔓 rdcu.be/dGILB
    🚦NOT SURE: How to reconcile the results of high-quality, negative RCT with preexisting favorable observational data?
    🔓 rdcu.be/dGINm
    All free to read #FOAMcc #FOAMecmo on @ICM

  31. Prone positioning on #ECMO for severe #ARDS??
    🚦PRO: Performed in experienced/highly specialized centers, PP feasible/safe promising option
    🔓 rdcu.be/dGIMf
    🚦CON: according to PRONECMO trial results, PP during #ECLS did not yield significant benefits vs supine position.
    🔓 rdcu.be/dGILB
    🚦NOT SURE: How to reconcile the results of high-quality, negative RCT with preexisting favorable observational data?
    🔓 rdcu.be/dGINm
    All free to read #FOAMcc #FOAMecmo on @ICM

  32. Safe ventilation in #ARDS?? Elusive... justifying use of #ECLS. Challenge is to treat lung disease effectively while mitigating injury risks. Free to read #FOAMcc on @ICM
    🔓 rdcu.be/dGq5p

    In reply to
    🔓 rdcu.be/dGq6n

    All refers to editorial on VILI
    🔓rdcu.be/dGq6G

  33. Safe ventilation in #ARDS?? Elusive... justifying use of #ECLS. Challenge is to treat lung disease effectively while mitigating injury risks. Free to read #FOAMcc on @ICM
    🔓 rdcu.be/dGq5p

    In reply to
    🔓 rdcu.be/dGq6n

    All refers to editorial on VILI
    🔓rdcu.be/dGq6G

  34. Safe ventilation in #ARDS?? Elusive... justifying use of #ECLS. Challenge is to treat lung disease effectively while mitigating injury risks. Free to read #FOAMcc on @ICM
    🔓 rdcu.be/dGq5p

    In reply to
    🔓 rdcu.be/dGq6n

    All refers to editorial on VILI
    🔓rdcu.be/dGq6G

  35. Safe ventilation in #ARDS?? Elusive... justifying use of #ECLS. Challenge is to treat lung disease effectively while mitigating injury risks. Free to read #FOAMcc on @ICM
    🔓 rdcu.be/dGq5p

    In reply to
    🔓 rdcu.be/dGq6n

    All refers to editorial on VILI
    🔓rdcu.be/dGq6G

  36. Challenge for the ones of you used to #ECMO support
    🫀62y, refractory VFib #OHCA in the ED
    🩸extracorporeal cardiopulmonary resuscitation initiation
    Which kind of cannulation was performed to provide veno-arterial #ECLS??
    #FOAMcc #FOAmecmo on @ICM
    📸 rdcu.be/dy588

  37. Challenge for the ones of you used to #ECMO support
    🫀62y, refractory VFib #OHCA in the ED
    🩸extracorporeal cardiopulmonary resuscitation initiation
    Which kind of cannulation was performed to provide veno-arterial #ECLS??
    #FOAMcc #FOAmecmo on @ICM
    📸 rdcu.be/dy588

  38. Challenge for the ones of you used to #ECMO support
    🫀62y, refractory VFib #OHCA in the ED
    🩸extracorporeal cardiopulmonary resuscitation initiation
    Which kind of cannulation was performed to provide veno-arterial #ECLS??
    #FOAMcc #FOAmecmo on @ICM
    📸 rdcu.be/dy588

  39. Challenge for the ones of you used to #ECMO support
    🫀62y, refractory VFib #OHCA in the ED
    🩸extracorporeal cardiopulmonary resuscitation initiation
    Which kind of cannulation was performed to provide veno-arterial #ECLS??
    #FOAMcc #FOAmecmo on @ICM
    📸 rdcu.be/dy588

  40. Challenge for the ones of you used to #ECMO support
    🫀62y, refractory VFib #OHCA in the ED
    🩸extracorporeal cardiopulmonary resuscitation initiation
    Which kind of cannulation was performed to provide veno-arterial #ECLS??
    #FOAMcc #FOAmecmo on @ICM
    📸 rdcu.be/dy588

  41. Age & associated outcomes among pts receiving VA #ECMO, (Bayesian) analysis of ELSO Registry:
    🏥 > 15K pts/440 centers
    📈 increasing age strongly associated with higher mortality or complications
    📈 statistically higher risk emerging as early as 40 y
    🔓 rdcu.be/dqhb5

    With editorial:
    🍂 How old is too old for #ECLS in cardiogenic shock? In the age of #machinelearning medicine remains art of probability & science of uncertainty.
    🔓 rdcu.be/dqhbq

    All free to read #FOAMcc #FOAMecmo

  42. Age & associated outcomes among pts receiving VA #ECMO, (Bayesian) analysis of ELSO Registry:
    🏥 > 15K pts/440 centers
    📈 increasing age strongly associated with higher mortality or complications
    📈 statistically higher risk emerging as early as 40 y
    🔓 rdcu.be/dqhb5

    With editorial:
    🍂 How old is too old for #ECLS in cardiogenic shock? In the age of #machinelearning medicine remains art of probability & science of uncertainty.
    🔓 rdcu.be/dqhbq

    All free to read #FOAMcc #FOAMecmo

  43. Age & associated outcomes among pts receiving VA #ECMO, (Bayesian) analysis of ELSO Registry:
    🏥 > 15K pts/440 centers
    📈 increasing age strongly associated with higher mortality or complications
    📈 statistically higher risk emerging as early as 40 y
    🔓 rdcu.be/dqhb5

    With editorial:
    🍂 How old is too old for #ECLS in cardiogenic shock? In the age of #machinelearning medicine remains art of probability & science of uncertainty.
    🔓 rdcu.be/dqhbq

    All free to read #FOAMcc #FOAMecmo

  44. Age & associated outcomes among pts receiving VA #ECMO, (Bayesian) analysis of ELSO Registry:
    🏥 > 15K pts/440 centers
    📈 increasing age strongly associated with higher mortality or complications
    📈 statistically higher risk emerging as early as 40 y
    🔓 rdcu.be/dqhb5

    With editorial:
    🍂 How old is too old for #ECLS in cardiogenic shock? In the age of #machinelearning medicine remains art of probability & science of uncertainty.
    🔓 rdcu.be/dqhbq

    All free to read #FOAMcc #FOAMecmo

  45. Age & associated outcomes among pts receiving VA #ECMO, (Bayesian) analysis of ELSO Registry:
    🏥 > 15K pts/440 centers
    📈 increasing age strongly associated with higher mortality or complications
    📈 statistically higher risk emerging as early as 40 y
    🔓 rdcu.be/dqhb5

    With editorial:
    🍂 How old is too old for #ECLS in cardiogenic shock? In the age of #machinelearning medicine remains art of probability & science of uncertainty.
    🔓 rdcu.be/dqhbq

    All free to read #FOAMcc #FOAMecmo

  46. #ECLS for #ARDS, systematic review & meta-analysis focused on long-term patients' outcomes:
    📖 1 RCT + 31 observational studies included; lack of high-quality data: limited overall quality of evidence
    ⚠️ major sequelae common: 49% of survivors returning to work, 23% need home assistance
    ⚖️ #ECMO vs conventional mechanical ventilation? no significant difference in HRQoL, cognitive function, mental health, functional status, respiratory symptoms #FOAMcc #FOAMecmo on @ICM
    🔓rdcu.be/dw7XC

  47. #ECLS for #ARDS, systematic review & meta-analysis focused on long-term patients' outcomes:
    📖 1 RCT + 31 observational studies included; lack of high-quality data: limited overall quality of evidence
    ⚠️ major sequelae common: 49% of survivors returning to work, 23% need home assistance
    ⚖️ #ECMO vs conventional mechanical ventilation? no significant difference in HRQoL, cognitive function, mental health, functional status, respiratory symptoms #FOAMcc #FOAMecmo on @ICM
    🔓rdcu.be/dw7XC

  48. #ECLS for #ARDS, systematic review & meta-analysis focused on long-term patients' outcomes:
    📖 1 RCT + 31 observational studies included; lack of high-quality data: limited overall quality of evidence
    ⚠️ major sequelae common: 49% of survivors returning to work, 23% need home assistance
    ⚖️ #ECMO vs conventional mechanical ventilation? no significant difference in HRQoL, cognitive function, mental health, functional status, respiratory symptoms #FOAMcc #FOAMecmo on @ICM
    🔓rdcu.be/dw7XC

  49. #ECLS for #ARDS, systematic review & meta-analysis focused on long-term patients' outcomes:
    📖 1 RCT + 31 observational studies included; lack of high-quality data: limited overall quality of evidence
    ⚠️ major sequelae common: 49% of survivors returning to work, 23% need home assistance
    ⚖️ #ECMO vs conventional mechanical ventilation? no significant difference in HRQoL, cognitive function, mental health, functional status, respiratory symptoms #FOAMcc #FOAMecmo on @ICM
    🔓rdcu.be/dw7XC