#foamecmo — Public Fediverse posts
Live and recent posts from across the Fediverse tagged #foamecmo, aggregated by home.social.
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What is happening in this 44-year-old man on VA #ECMO??
🚨 #ECPR after 30 min of refractory cardiac arrest post-myocardial infarction
🫀 recovered native cardiac activity but severe postresuscitation vasoplegia leading to important fluid filling to maintain #extracorporeal blood flow
🖥️ TEE showed right atrial collapse
…. cardiac tamponade?? Collapse reversed within seconds during a transient reduction in EBF
Free to read #FOAMcc #FOAMecmo on @ICM
🔓 https://rdcu.be/dJW8S -
What is happening in this 44-year-old man on VA #ECMO??
🚨 #ECPR after 30 min of refractory cardiac arrest post-myocardial infarction
🫀 recovered native cardiac activity but severe postresuscitation vasoplegia leading to important fluid filling to maintain #extracorporeal blood flow
🖥️ TEE showed right atrial collapse
…. cardiac tamponade?? Collapse reversed within seconds during a transient reduction in EBF
Free to read #FOAMcc #FOAMecmo on @ICM
🔓 https://rdcu.be/dJW8S -
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
🔓 https://rdcu.be/dHzLz -
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
🔓 https://rdcu.be/dHzLz -
Prone positioning on #ECMO for severe #ARDS??
🚦PRO: Performed in experienced/highly specialized centers, PP feasible/safe promising option
🔓 https://rdcu.be/dGIMf
🚦CON: according to PRONECMO trial results, PP during #ECLS did not yield significant benefits vs supine position.
🔓 https://rdcu.be/dGILB
🚦NOT SURE: How to reconcile the results of high-quality, negative RCT with preexisting favorable observational data?
🔓 https://rdcu.be/dGINm
All free to read #FOAMcc #FOAMecmo on @ICM -
Prone positioning on #ECMO for severe #ARDS??
🚦PRO: Performed in experienced/highly specialized centers, PP feasible/safe promising option
🔓 https://rdcu.be/dGIMf
🚦CON: according to PRONECMO trial results, PP during #ECLS did not yield significant benefits vs supine position.
🔓 https://rdcu.be/dGILB
🚦NOT SURE: How to reconcile the results of high-quality, negative RCT with preexisting favorable observational data?
🔓 https://rdcu.be/dGINm
All free to read #FOAMcc #FOAMecmo on @ICM -
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
🔓 https://rdcu.be/dqhb5With editorial:
🍂 How old is too old for #ECLS in cardiogenic shock? In the age of #machinelearning medicine remains art of probability & science of uncertainty.
🔓 https://rdcu.be/dqhbq -
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
🔓 https://rdcu.be/dqhb5With editorial:
🍂 How old is too old for #ECLS in cardiogenic shock? In the age of #machinelearning medicine remains art of probability & science of uncertainty.
🔓 https://rdcu.be/dqhbq -
#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
🔓https://rdcu.be/dw7XC -
#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
🔓https://rdcu.be/dw7XC -
⚖️ BMI & #ECMO support: obesity as single parameter is NOT a contraindication for #ECLS in respiratory failure! According to this ELSO Registry study if obesity class II or more (BMI ≥ 35)
⬇️ 🏥 mortality & shorter stays, despite
⬆️ cardiovascular, renal, device-related complications
⬇️ pulmonary complications
Association between BMI/outcomes non-linear
Full results free to read #FOAMcc #FOAMecmo on @ICM
🗞️ https://rdcu.be/c0j5BBelow ⬇️ ⬇️ visual abstract