Category Archives: ECMO

151 DAYS ON ECMO WITH NO HEPARIN

Experimental. On a goat. But still, 151 days on ECMO without any heparinisation is very impressive and promising. One big draw-back of ECMO treatment has been the need for full heparinisation to avoid clotting of the ECMO circuit. Heparin coated … Continue reading






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ECMO IN TRAUMA

ECMO in multitrauma patients sounds like asking for complexity and lots of oozing blood – but it seems to have potential for actually stabilising the patient’s systems and get better outcome. The short version: ECMO restores normal physiology and unloads … Continue reading






Posted in ECMO, Trauma | 1 Comment

SONA – SIDE OF NECK ACCESS

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






Posted in Airway management, Anesthesia, ECMO | 1 Comment

SOLVING DIFFERENTIAL OXYGENATION IN VA-ECMO

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






Posted in ECMO | 3 Comments

E-CPR STRIKES AGAIN

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






Posted in Cardiology, ECMO, Emergency Medicine | 11 Comments

ECMO – MIXING IT UP

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






Posted in ECMO, Intensive Care | 2 Comments

I AM THE RESURRECTION

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






Posted in Cardiology, ECLS, ECMO, Emergency Medicine, Intensive Care | 3 Comments

ECMO OUTCOMES IN ACCIDENTAL HYPOTHERMIA

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






Posted in ECMO, Prehospital Medicine, SAR | 3 Comments

ECMO AND IMPELLA

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






Posted in ECLS, ECMO, Intensive Care | 2 Comments

IMAGING CASE OF THE MONTH

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.






Posted in ECMO, Prehospital Medicine | 2 Comments