[ALA Client News] iPerf concludes promising clinical trial of novel dual-lumen femoral arterial cannula for cardiopulmonary support

ala.associates/clinical/ipe...

#clinicaltrial #ECMO #CEC

The (influential) role of regret in #ECMO candidacy decision-making may partly explain known inconsistencies in candidacy decisions within centers??
🖇️ bit.ly/3TeJ5yt

The (influential) role of regret in #ECMO candidacy decision-making
1️⃣ clinicians prefer utility-based reasoning: often not possible
2️⃣ regret of omission & commission both influence candidacy decisions
3️⃣ clinicians employ various strategies to minimize past + anticipated regret
🖇️ bit.ly/3TeJ5yt

📢 Spring training opportunities!
Adult #ECMO #simulation course: 🛠️ hands on learning + 🚧 troubleshooting, two 1 ½ day sessions
📆 April 12-13 or April 14-15 2027
🎓 Cannulation course: 1 day hands-on sessions
📆 April 16 or 17 or 18, 2027
ELSO headquarters 📌 Ann Arbor MI
Register 🎓 bit.ly/ELSOAcademy

Data confirms clinically meaningful survival advantage for #ECMO in refractory shockable #OHCA. Faster cannulation is associated with survival, and prehospital & hybrid delivery models increase access to ECLS. In parallel, individualized selection complements time-targeted delivery.
🖇️ bit.ly/4iF63Jk

Accessibility to #ECPR pathway for o#OHCA?? Still limited!
Timely access to #ECMO essential to improve CA outcomes: developing an effective & equitable system requires multidisciplinary collaboration to ensure access is maximised while preserving time-sensitive benefits.
🖇️ bit.ly/4hlPUGC

Accessibility to #ECPR pathway for #OHCA in London 🇬🇧?? Still limited!
🗺️ study analyzing 5y of routinely collected data from London Ambulance Service
🚑 776 pts met #ECMO eligibility criteria, but only 3% estimated to reach #ECLS-capable centre during operating hours and within 45'
🖇️ bit.ly/4hlPUGC

🎙️ The #ECMO brief with the Ed and Todd-Cast! One of a kind plenary session at #ELSO2026 session Moderated by T Rice & E Qian:
📋 Preparing for next pandemic - R Diaz
🫘 🫁🫀 DCD & NRP - MV Antonini & A Williams
🫘 🫁🫀 Organ preservation - A Rojas-Pena

📌 Nashville, TN
📆 Sep 28 - Oct 1
🖇️ bit.ly/ELSO2026

Device failure on #ECMO: insights from MAUDE Database:
📋 device malfunctions demonstrated component-specific patterns, with meaningful subset describing harm ⚠️. Because platform lacks denominator data, findings represent post-market safety signals vs estimates of failure incidence.
🖇️ bit.ly/3T1lnFS

📖 Mechanical complications & crisis management. The oversight, provision, delivery of #ECMO has often been compared to phrase: hours and hours of boredom interspersed by moments of stark terror.Take a look at Chapter 28 of the 📘 Blue Book: the ELSO #ECMO Specialist Training Manual
🛒 bit.ly/ELSObooks

📖 Mechanical complications & crisis management. Blue book - chapter 28:
🫁 ML dysfunction/failure
💨 interruption of gas supply
⚙️ pump failure
🫧 air entrainment
🩸 circuit disruption
🩸 inadvertent decannulation
📘 Latest edition of ELSO #ECMO Specialist Training Manual is available
🛒 bit.ly/ELSObooks

High-risk acute pulmonary embolism? VA #ECLS with early percutaneous or surgical embolectomy may provide a survival benefit over #ECMO alone
🫀🫁 Optimal outcomes will likely be achieved through integrated approach combining #MCS with prompt thrombus removal.
@asaiojournal.bsky.social
🖇️ bit.ly/4xof6lH

High-risk acute PE
🔍 #ECMO + embolectomy, ECMO + thrombolysis or ECMO alone
⏱️ complications & support time similar
🫁 embolectomy associated with most favourable outcome: hospital discharge, 1/3y survival highest after ECMO + embolectomy vs ECMO + thrombolysis; lowest post ECMO alone
🖇️ bit.ly/4xof6lH

Nueva EPS confirma seguimiento médico para bebé Valentino con necesidad de terapia ECMO

🤖 IA: No es clickbait ✅
👥 Usuarios: No es clickbait ✅

#eps #ecmo #bebé

👇👇👇

Circuit thrombosis & mechanical failure in children in #ECMO
⚠️ circuit failure common: 19% with at least one circuit replacement in 15% of runs
⏱️ median time to failure 129.5h
🪦 significantly increased mortality (49% vs 34%), strongest effect in neonates
@asaiojournal.bsky.social
🖇️ bit.ly/4hkvYos

Circuit thrombosis & mechanical failure in children in #ECMO
🔍 analysis of ELSO Registry including >20K pts
⚠️ circuit failure 19.2%, at least 1 replacement in 15.3% runs
⚖️ neonatal age, low weight (<3 kg) higher volume associated with ⬆️ risk
🪦 failure associated with ⬆️ mortality
🖇️ bit.ly/4hkvYos

Antimicrobial use in ECMO is poorly described.

We evaluated AU at our center and found, despite no ECMO specific ppx protocol, antimicrobials were prescribed on 85% of pt days😱

doi.org/10.1017/ash....

Also my teams first use of a bubble plot 🫧

#ECMO #IDSky @ashejournal.bsky.social

Recording of #SEECMO2026 webinar:🩸 Hemolysis in #ECMO⁉️ More than just a laboratory finding is available
🔍 Clinical impact, pathophysiology, biomarkers of hemolysis
🩺 Cannulation strategies, patient management, real-world cases
⚙️ Circuit-related causes, troubleshooting, prevention
🎥 bit.ly/3SVydoP

Prolonged #ECMO in children with respiratory failure: any likelihood of native lung recovery?
🫁 Duration alone should not be sole determinant of poor prognosis: other clinical factors + presence of complications more relevant ! Should prolonged ECMO definition of be set at 28 days?
🖇️ bit.ly/4heWBey