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A blog on anaesthesia, intensive care and emergency medicine. In-hospital and outside. Mostly focusing on the critically ill patient. Written by two Scandinavian senior anaesthetic registrars.
This is our way of keeping log of articles and interesting things we come across in our work and on the internet. Should any of you out there stumble across this blog and find it useful then all the better.
Please leave comments or questions if you have any. The best way to keep learning is to keep the conversation going.
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Category Archives: ECLS
If you make a study on interventions on dead people, you don’t expect much. Well, the Alfred in Melbourne did such a study – and got a resurrection rate of over 50%! Their intervention group was people in refractory cardiac … Continue reading
A study in SJTREM compares CPR hands-off times with various airway devices. It reinforces what we already know. In order to maintain hands-off times within CPR guideline recommendations the endotracheal tube is not a realistic option for inexperienced EMTs.
ECMO or Impella, or ECMO and Impella? With increased focus on mechanical support for acute severe heart failure and cardiac arrest, there’s more research looking into which type of mechanical assistance that’s most appropriate. Each type of assist device has … Continue reading
Here is some iPhone footage from the OR that demonstrates how effective mechanical compressions can be. The patient is a hypothermic cardiac arrest victim. He was put on LUCAS2 as a bridge to ECMO-cannulation. On this transesophageal echo view the … Continue reading
Probably to make up for the killing of goats by the First Earth Battalion, research groups have been keeping goat fetuses alive outside the womb, incubated and on ECMO via the umbilical chord.
All you wanted to know. A great introduction to ECMO by Hergen Buscher, a German intensivist who lives and practices in Sydney. BONUS: It’s like listening to Schwarzenegger talking on ECMO! Click to see the full trilogy.
Extra Corporeal Membrane Oxygenation or ECMO is more and more referred to as Extra Corporeal Life Support or ECLS, due to it being used more and more as a V-A system, supporting the circulation as well as the respiration. There … Continue reading
Cardiac arrest is still treated with medieval methods. And, not surprisingly, with low survival. The best we have to offer is an orderly’s rhythmical crushing of ribs and chest, with a few squirts of adrenaline thrown in for good measure. … Continue reading
Hjertestans behandles fremdeles med middelaldermetoder, og ikke overraskende med meget lav overlevelse. Det beste vi har å tilby er rytmisk portørknusing av thorax, eventuelt kombinert med noen skvett adrenalin. I det 21. århundrede må det da finnes en bedre metode?