Decannulation after VA #ECMO for #OHCA: 🚑 390 patients treated under Minnesota Resuscitation Consortium #ECPR protocol 🫀125 underwent decannulation, 88% successfully; LVEF at lowest EBF, pulsatility, VIS, run duration significantly associated with success 🫀 failed decannulations less likely to have been witnessed CA and had lower rates of bystander CPR Decannulation success depends on multiple interrelated factors, bedside-assessable & noninvasive. Individual parameters may provide partial insights, while integrating hemodynamic and #POCUS assessments may support decision-making guiding decannulation readiness in this complex population. Optimizing modifiable factors as myocardial recovery, vasopressor requirements, blood flow requirements could improve decannulation outcomes. #FOAMcc #FOAMecmo 🖇️ bit.ly/4h8EcjY

ECMO, acute kidney injury, fluid balance, and continuous renal replacement therapy: 🫘 epidemiology, risk factors, outcomes of #AKI & #CRRT 💦 fluid management and outcomes 📋 indications for CRRT and fluid removal during #ECMO, and best practices for performing 💉 biomarkers, extracorporeal blood purification, drug PK/PD ADQI and @ELSOOrg joint consensus conference, aimed at providing recommendations, identifying knowledge gaps and research priorities based on international expert consensus, to serve to lay the foundation for a standardized approach across #ECLS centers #FOAMcc #FOAMecmo @yourICM 🔓 rdcu.be/fh662

#ECMO in patients with traumatic brain injury and/or requiring neurosurgery: outcomes, complications & management considerations 🧠 TBI should not be considered an absolute contraindication: #ECLS can be safely utilized. Successful outcomes relied on collaborative efforts + minimally intensive anticoagulation. A subset of patients developed ICH on ECMO (TBI/not), requiring neurosurgical interventions: key factors affecting prognosis included ICH size, timing of intervention, careful adjustment of anticoagulation. Discontinuing ECMO prior to intervention may be advantageous if clinically feasible. #FOAMcc #FOAMecmo @NeurocritCareJ 🔓 rdcu.be/fd9n9