Discover and read the best of Twitter Threads about #eCPR
Most recents (8)
Next up Dr Stuart Gilon
discussing with detailed evidence. #UKECPR23 @tamishtah @iceman_ex @MLSCourse
@tscquizzato great work
onlinelibrary.wiley.com/doi/full/10.11…
discussing with detailed evidence. #UKECPR23 @tamishtah @iceman_ex @MLSCourse
@tscquizzato great work
onlinelibrary.wiley.com/doi/full/10.11…
Initial #shockable rhythm is better. ARREST trial remains key. Gotta talk about this when chatting the #ECPR thelancet.com/article/S0140-…
Bear in mind - ARREST trial selects shockable rhythm patient. But BLS is key. Looking at old study in Amsterdam pubmed.ncbi.nlm.nih.gov/12104106/
Session 1 : Starting with recapping #latest evidence in #ECPR with Drs James Raitt, Stuart Gilon, and Dr Nick Barrett with @doctorbrijpatel #UKECPR23 @Novicelearner9 @djlowcock @tamish @DineshCallum @MLSCourse
Dr James Raitt - Cons in EM and PHEM at Thames Valley Air Ambulance - cardiac arrest ; where are we now? #UKECPR23
🔸ECPR improves survival with good neuro outcome🔸
We just published the first meta-analysis of 4 RCTs
➡️ More OHCA patients had good neuro outcome when randomized to #ECPR (27% vs 18%, p=0.02)
🧵 Learn more in the thread /11
🔗 onlinelibrary.wiley.com/doi/full/10.11…
#FOAMcc #ResusTwitter
We just published the first meta-analysis of 4 RCTs
➡️ More OHCA patients had good neuro outcome when randomized to #ECPR (27% vs 18%, p=0.02)
🧵 Learn more in the thread /11
🔗 onlinelibrary.wiley.com/doi/full/10.11…
#FOAMcc #ResusTwitter
2/
In refractory OHCA, VA-#ECMO during ongoing CPR, known as #ECPR, can restore and maintain organ perfusion limiting brain injury
Growing evidence suggest that this approach can improve survival and neuro outcome
#FOAMcc #ResusTwitter
In refractory OHCA, VA-#ECMO during ongoing CPR, known as #ECPR, can restore and maintain organ perfusion limiting brain injury
Growing evidence suggest that this approach can improve survival and neuro outcome
#FOAMcc #ResusTwitter
3/
After decades of evidence from non-RCTs, 3 single-center RCTs investigated #ECPR vs conventional CPR and 2 suggested a potential benefit
In 2023, the first multi-center RCT (INCEPTION) was published and showed no major differences in outcomes
#FOAMcc #ResusTwitter
After decades of evidence from non-RCTs, 3 single-center RCTs investigated #ECPR vs conventional CPR and 2 suggested a potential benefit
In 2023, the first multi-center RCT (INCEPTION) was published and showed no major differences in outcomes
#FOAMcc #ResusTwitter
ECPR for OHCA: Pre-hospital or in-hospital?
Happy to share this Editorial written with @Alice_hutin and @giovannilandoni commenting on a SR/MA by @nattiejpk investigating the role of pre-hospital #ECPR.
🧵👇 Learn more in the thread /17
🔗 bit.ly/3ZQQNNG #ResusTwitter
Happy to share this Editorial written with @Alice_hutin and @giovannilandoni commenting on a SR/MA by @nattiejpk investigating the role of pre-hospital #ECPR.
🧵👇 Learn more in the thread /17
🔗 bit.ly/3ZQQNNG #ResusTwitter
2/
#ECPR is the last rescue therapy when despite high-quality conventional CPR it is not possible to achieve ROSC.
In such situations, OHCA is considered refractory and E-CPR recently demonstrated to improve outcomes in selected patients.
#ResusTwitter
#ECPR is the last rescue therapy when despite high-quality conventional CPR it is not possible to achieve ROSC.
In such situations, OHCA is considered refractory and E-CPR recently demonstrated to improve outcomes in selected patients.
#ResusTwitter
3/
@nattiejpk recently conducted a SRMA published on @JCVAonline investigating effect of preh initiation of #ECPR on low-flow and survival
Most evidence comes from Paris, first EMS applying preh ECPR since 2011 @LionelLamhaut @alice_hutin
#ResusTwitter
@nattiejpk recently conducted a SRMA published on @JCVAonline investigating effect of preh initiation of #ECPR on low-flow and survival
Most evidence comes from Paris, first EMS applying preh ECPR since 2011 @LionelLamhaut @alice_hutin
#ResusTwitter
NEXT Speaker : VA ecmo for which patients?
Alain COMBES
Severe cardiogenic shock has different phenotypes
1. medical cardiogenic shock(AMI, end stage dilated CM, myocarditis, septic shock)
2. Post cardiotomy refractory CS (post CABG)
#LIVES2022
@ESICM #ecmo #resuscitation #ALS
Alain COMBES
Severe cardiogenic shock has different phenotypes
1. medical cardiogenic shock(AMI, end stage dilated CM, myocarditis, septic shock)
2. Post cardiotomy refractory CS (post CABG)
#LIVES2022
@ESICM #ecmo #resuscitation #ALS
@ESICM 2022 what do the guidelines say
- ESC recommends short term MCS should be considred in cardiogenic shock.
IABP may be considered but not routinely recommended in post MI
#LIVES2022
- ESC recommends short term MCS should be considred in cardiogenic shock.
IABP may be considered but not routinely recommended in post MI
#LIVES2022
AGIKplenum: Unverzichtbar im Katheterlabor!?
(Raum 12 @kardiologie_org)
❤️Zweiter Vortrag:
Hämodynamische Unterstützungssysteme (Alexander Ghanem | Hamburg)
#DGKJahrestagung 2021
@HolgerNef @kaschenke @MarcVorpahl @thiele_holger
(Raum 12 @kardiologie_org)
❤️Zweiter Vortrag:
Hämodynamische Unterstützungssysteme (Alexander Ghanem | Hamburg)
#DGKJahrestagung 2021
@HolgerNef @kaschenke @MarcVorpahl @thiele_holger
Here is the #PedsICU #BestOf2020 collection.
Jointly chosen by
@Dr_Hari_Krishna @sgdambrauskas and myself
Pubmed collection 40 articles: bit.ly/pedsicubestof2…
Infographic (clickable PDF) in English: bit.ly/bestof2020eng
Spanish: bit.ly/bestof2020esp
#PedsCICU #NeuroPICU
Jointly chosen by
@Dr_Hari_Krishna @sgdambrauskas and myself
Pubmed collection 40 articles: bit.ly/pedsicubestof2…
Infographic (clickable PDF) in English: bit.ly/bestof2020eng
Spanish: bit.ly/bestof2020esp
#PedsCICU #NeuroPICU
This will be a bilingual tweetorial in Spanish/English!
Infographics are available in both languages in Tweet #1
El hilo será en Español/Inglés. El resumen infográfico está disponible en los dos idiomas en el primer Tweet
Infographics are available in both languages in Tweet #1
El hilo será en Español/Inglés. El resumen infográfico está disponible en los dos idiomas en el primer Tweet
1/What are the outcomes that matter to children, to families and to #researchers/clinicians? @ericka_fink et al & @PostPICU_PALISI investigators identified COS using a delphi process. @CritCareMed bit.ly/381cfq8. Developmental and functional outcomes were important.
@TiaTiaraymond @AlexisTopjian just announced a big change in the @HeartCPR Pediatric #CPR guidelines...ventilate 20-30 times per minute during CPR in children with an airway in place. Based, in part, on @CritCareMed publication by @SuttonB_ICUMD #PedsICU #CPRsaveslives
Take-home messages:
1. High-quality #CPR is the foundation of resuscitation. New data reaffirm the key components of high-quality CPR: adequate compression rate / depth, minimizing interruptions, allowing full chest recoil between compressions, & avoiding excessive ventilation.
1. High-quality #CPR is the foundation of resuscitation. New data reaffirm the key components of high-quality CPR: adequate compression rate / depth, minimizing interruptions, allowing full chest recoil between compressions, & avoiding excessive ventilation.
2. A respiratory rate of 20 to 30 breaths per minute is new for infants and children who are (a) receiving CPR with an advanced airway in place or (b) receiving rescue breathing and have a pulse.
