Category Archives: ECMO

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 | 2 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

THE MEN WHO STARE AT TINY GOATS

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.

Posted in ECLS, ECMO, Tech | 1 Comment

THE ECMO TRILOGY

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.

Posted in ECLS, ECMO | Leave a comment