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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: ECMO
How’s this for thinking outside the box in the approach to the difficult airway!? Difficult airway algorithms and advanced management options for difficult airways mostly concentrate on getting into the trachea. But what happens if getting into the trachea is … Continue reading
ECMO can fix anything. But, surprisingly, it has some limitations. One of them is differential oxygenation in VA-ECMO, also known as watershed. A recent paper looks into new ECMO set-ups in an experimental animal model that seeks to solve the … Continue reading
ECMO for cardiac arrest, E-CPR, has been shown several times to increase survival more than any other intervention we have available. Here’s yet another retrospective study to support the findings in previous trials (links at end of post). Survival with … Continue reading
ECMO is all the rage, and ScanCrit is a fanatical believer. However, ECMO has its problems and challenges. The challenge we’ll look into here, is choosing between VV or VA ECMO – sometimes the choice is straightforward, other times not. … Continue reading
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
In accidental hypothermic cardiac arrest we are to continue CPR until the patient has been rewarmed to around 34. If available, and appropriate, these patients are to be transferred to a hospital with ECMO capability. ECMO is the most efficient … Continue reading
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
OK, that’s it! I’m off to Germany! I don’t care if they treat their registrars like shit, as long as I get to drive a Porsche with prehospital ECMO.
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.