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M Velia Antonini

@foamecmo.bsky.social
341 followers 110 following 443 posts

Perfusionist, E-AEC, ECMO & NRP specialist + POCUS EuroELSO Steering C & Chair NRP Working Group ELSOeducation taskforce SoMe Director @TheELSO SoMe Editor @asaiojournal

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M Velia Antonini @foamecmo.bsky.social · 24/09/2026
Membrane lung dead space in #ECMO: related with failure? 📦 circuits requiring replacement had higher MLDS + lower CO2 in exhaust gas + ML CO2 removal MLDS could be associated with other performance indicators (as resistances), contributing to better understanding of ML physiology 🔓 bit.ly/4yUDVqr
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M Velia Antonini @foamecmo.bsky.social · 23/09/2026
The (influential) role of regret in #ECMO candidacy decision-making may partly explain known inconsistencies in candidacy decisions within centers?? 🖇️ bit.ly/3TeJ5yt
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theelso.bsky.social @theelso.bsky.social · 22/09/2026
📢 The 3 SWAAC ELSO 2026 research webinar sessions are now available to watch on demand! What you'll take?? 🎥 1️⃣ Foundations of #ECLS research & epidemiology 🎥 2️⃣ ELSO Registry: structure, access, research use 🎥 3️⃣ ECLS Research in low-and middle-income countries Open #FOAMcc #FOAMecmo 🖇️ bit.ly/4rv2bx4
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theelso.bsky.social @theelso.bsky.social · 21/09/2026
📢 Spring training opportunities! Adult #ECMO #simulation course: 🛠️ hands on learning + 🚧 troubleshooting, two 1 ½ day sessions 📆 April 12-13 or April 14-15 2027 🎓 Cannulation course: 1 day hands-on sessions 📆 April 16 or 17 or 18, 2027 ELSO headquarters 📌 Ann Arbor MI Register 🎓 bit.ly/ELSOAcademy
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M Velia Antonini @foamecmo.bsky.social · 20/09/2026
Data confirms clinically meaningful survival advantage for #ECMO in refractory shockable #OHCA. Faster cannulation is associated with survival, and prehospital & hybrid delivery models increase access to ECLS. In parallel, individualized selection complements time-targeted delivery. 🖇️ bit.ly/4iF63Jk
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M Velia Antonini @foamecmo.bsky.social · 18/09/2026
Accessibility to #ECPR pathway for o#OHCA?? Still limited! Timely access to #ECMO essential to improve CA outcomes: developing an effective & equitable system requires multidisciplinary collaboration to ensure access is maximised while preserving time-sensitive benefits. 🖇️ bit.ly/4hlPUGC
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esottransplant @esottransplant.bsky.social · 18/09/2026
⏳ Have you explored the #ESOTgrants Programme 2027 yet?​ There may be a grant designed for you.​ 🗓️ Deadline: 𝟲 𝗢𝗰𝘁𝗼𝗯𝗲𝗿 𝟮𝟬𝟮𝟲​ Invest in your future. ESOT is ready to invest in you.​ #PoweredByESOT #Transplantation #ESOTeducation #Research
go.esot.org
Grants programme 2027 • ESOT
#ESOTgrants applications are open till 6 October.
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M Velia Antonini @foamecmo.bsky.social · 16/09/2026
Optimal criteria for #ECPR patient selection remain poorly understood: should be center-specific reflecting resources and readiness. However, findings of this study support inclusion of lactate/pH as part of multifactorial risk tools to guide risk assessment/decision-making when evaluating candidacy
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theelso.bsky.social @theelso.bsky.social · 14/09/2026
📖 Mechanical complications & crisis management. Blue book - chapter 28: 🫁 ML dysfunction/failure 💨 interruption of gas supply ⚙️ pump failure 🫧 air entrainment 🩸 circuit disruption 🩸 inadvertent decannulation 📘 Latest edition of ELSO #ECMO Specialist Training Manual is available 🛒 bit.ly/ELSObooks
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M Velia Antonini @foamecmo.bsky.social · 14/09/2026
📖 Mechanical complications & crisis management. The oversight, provision, delivery of #ECMO has often been compared to phrase: hours and hours of boredom interspersed by moments of stark terror.Take a look at Chapter 28 of the 📘 Blue Book: the ELSO #ECMO Specialist Training Manual 🛒 bit.ly/ELSObooks
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M Velia Antonini @foamecmo.bsky.social · 13/09/2026
📢 2026 @aatshq.bsky.social consensus on antithrombotics in neonates/infants undergoing 🫀 interventions 🩸 hemostatic system 🩸 CPB & catheter-based intervention 🫀 shunt physiology 🚰 conduits/baffles/nonautologous patch 🫀 interventional cardiology 🫀 bridging therapy 🩺 CVC 🫀 VR #PedsICU 🖇️ bit.ly/4gOxuiC
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M Velia Antonini @foamecmo.bsky.social · 12/09/2026
High-risk acute pulmonary embolism? VA #ECLS with early percutaneous or surgical embolectomy may provide a survival benefit over #ECMO alone 🫀🫁 Optimal outcomes will likely be achieved through integrated approach combining #MCS with prompt thrombus removal. @asaiojournal.bsky.social 🖇️ bit.ly/4xof6lH
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M Velia Antonini @foamecmo.bsky.social · 11/09/2026
📢 Cowboy cannulation and simulation showdown hands-on activity at #ELSO2026 37th Annual @theelso.bsky.social Conference‼️
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M Velia Antonini @foamecmo.bsky.social · 10/09/2026
Circuit thrombosis & mechanical failure in children in #ECMO ⚠️ circuit failure common: 19% with at least one circuit replacement in 15% of runs ⏱️ median time to failure 129.5h 🪦 significantly increased mortality (49% vs 34%), strongest effect in neonates @asaiojournal.bsky.social 🖇️ bit.ly/4hkvYos
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M Velia Antonini @foamecmo.bsky.social · 09/09/2026
Recording of #SEECMO2026 webinar:🩸 Hemolysis in #ECMO⁉️ More than just a laboratory finding is available 🔍 Clinical impact, pathophysiology, biomarkers of hemolysis 🩺 Cannulation strategies, patient management, real-world cases ⚙️ Circuit-related causes, troubleshooting, prevention 🎥 bit.ly/3SVydoP
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M Velia Antonini @foamecmo.bsky.social · 08/09/2026
Prolonged #ECMO in children with respiratory failure: any likelihood of native lung recovery? 🫁 Duration alone should not be sole determinant of poor prognosis: other clinical factors + presence of complications more relevant ! Should prolonged ECMO definition of be set at 28 days? 🖇️ bit.ly/4heWBey
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esottransplant @esottransplant.bsky.social · 08/09/2026
Not separate sessions. 𝗢𝗻𝗲 𝗰𝗼𝗻𝗻𝗲𝗰𝘁𝗲𝗱 𝗽𝗿𝗼𝗴𝗿𝗮𝗺𝗺𝗲.​ What makes this meeting different is how it’s built.​ It is designed to help you step back, connect the dots, and return to practice with a broader view.​ 📅 1 - 3 December | Barcelona​ Important: 14 Sep - Abstract submission deadline
go.esot.org
Programme at a glance
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theelso.bsky.social @theelso.bsky.social · 07/09/2026
⏳ - 21 to #ELSO2026... 🪑 preconference sessions, debates/case based discussion & roundtables 🎤 2 main congress plenary sessions 🫀🫁🔬🍼🧸 28 breakout sessions 📊 11 abstract sessions 📦 3 sponsored talks 🏅 Awards Ceremony & much more! 📆 Sep 28 - Oct 1 📌 Nashville, TN Full program at 🖇️ bit.ly/ELSO2026
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esottransplant @esottransplant.bsky.social · 05/09/2026
The ESOT Research Hub is your central gateway to the latest open surveys across the ESOT community 𝗪𝗵𝘆 𝘁𝗮𝗸𝗲 𝗽𝗮𝗿𝘁? Every response contributes to a broader understanding of transplantation today. Explore the ESOT Research Hub and add your perspective. #PoweredByESOT #TransplantResearch
go.esot.org
ESOT Research Hub | Open Surveys
Contribute your insights today to help shape the future of transplantation
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theelso.bsky.social @theelso.bsky.social · 05/09/2026
📖 Blue book chapter 27 focuses on medical complications, offering clinicians strategies to anticipate, detect, mitigate their effects in #ECLS 🩸 Bleeding/thrombosis, hemolysis, thrombocytopenia 🧫 Infections 🦵🏻 Limb ischemia 🫀 Cardiac tamponade 🫁 PTX & hemothorax 🫘 AKI 🧠 Seizures 🛒 bit.ly/ELSObooks
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M Velia Antonini @foamecmo.bsky.social · 04/09/2026
🫁 ECCO₂R-facilitated early extubation using modern device with capacity to eliminate > 50% of average CO2 production, may be associated with shorter IMV/NIV. Trends favored ECCO2R across several secondary outcomes. Small sample/premature termination = hypothesis-generating. 🔓 rdcu.be/1VFntAnk7eFa
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theelso.bsky.social @theelso.bsky.social · 03/09/2026
📱 Did you download the ELSO's #ECMO Bedside Guide ⁉️ The essential, free guide for managing #ECMO patients: ⚖️ assess candidacy 📦 equipment 📋 checklists 🧮 calculators 💉 medications in #ECLS 📚 resources and the amazing ⚠️ Panic button Apple 📱 bit.ly/ELSOBedsideG... Android 📱 bit.ly/ELSOBedsideG...
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theelso.bsky.social @theelso.bsky.social · 02/09/2026
Long-term mortality & outcomes in adults treated with #ECMO 🔍 SR/MA: 163 studies/>78K pts 🪦 long-term mortality remains high with substantial variation by modality/indication, from 37% for VV to 74% for ECPR at 1y 📚 functional outcomes inconsistently reported only in 23% of studies 🖇️ bit.ly/3SDFuK3
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esottransplant @esottransplant.bsky.social · 01/09/2026
One month left to submit your abstract to the 16th #EPITAsymposium. Submitters are eligible for: 🏆 Best Oral Presentation - €500 🏆 Best Poster - €250 🏆 Best Pitch - 12-month ESOT membership ⏳ Deadline: 1 October 2026 Submit: go.esot.org/epitasymp27_00 #ESOT_EPITA
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theelso.bsky.social @theelso.bsky.social · 31/08/2026
🍂 Advance your #ECMO expertise this fall in Ann Arbor, MI! Adult simulation course 📆 Nov 9-10 🚦 Nov 11-12: full - waitlist available Neo/Peds simulation course 📆 Oct 13-14 Adult cannulation workshop 📆 Oct 11 📆 Nov 15 🚦 Oct 10/Nov 13/Nov 14: full - waitlist available 📌 Ann Arbor 🎓 bit.ly/ELSOAcademy
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M Velia Antonini @foamecmo.bsky.social · 29/08/2026
LV unloading in VA #ECMO for refractory CS 🫀 non-selective approach may expose pt to unnecessary risks without improving outcomes; meaningful benefits in carefully selected pt phenotypes cannot be excluded. Results of ongoing RCTs awaited to define optimal unloading strategies 🔓 rdcu.be/gXGJHYxag6Da
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M Velia Antonini @foamecmo.bsky.social · 27/08/2026
Obesity paradox in VV #ECMO?? BMI seems a continuous risk factor for risk stratification, counseling, and complication mitigation. Absence of a futility threshold reinforces that BMI alone should not be considered absolute exclusion criterion for VV #ECMO @asaiojournal.bsky.social 🖇️ bit.ly/3UD4r8T
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M Velia Antonini @foamecmo.bsky.social · 26/08/2026
The unknown "others" of neonatal respiratory #ECLS?? 🫁 As ECMO use continues to provide an important life-saving therapy for critically ill neonates with cardiopulmonary failure, more diagnosis-specific data needed to better understand outcomes. @asaiojournal.bsky.social 🖇️ bit.ly/45Qeg5P
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M Velia Antonini @foamecmo.bsky.social · 24/08/2026
Preoperative #ECMO stabilization in pts with cardiogenic shock secondary to valvular dysfunction: from traditional VA to LAVA #ECLS 🌋 Principal advantage of LAVA circulatory support + effective left-sided decompression, as bridge to surgical replacement @asaiojournal.bsky.social 🖇️ bit.ly/4wIaI0j
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M Velia Antonini @foamecmo.bsky.social · 23/08/2026
🩸 Hemolysis in #ECMO⁉️ More than a laboratory finding... Join #SEECMO2026 webinar 🖥️. 🔍 Clinical impact, pathophysiology, biomarkers, G Peek 🩺 Cannulation strategies, management, C Harvey ⚙️ Circuit causes, troubleshooting, prevention, MV Antonini 📆 Sep 1 ⏰ 9- 10 am EDT Register at 🔓 bit.ly/4ghvEqk
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M Velia Antonini @foamecmo.bsky.social · 21/08/2026
🚑 #ECMO increasingly used for refractory #OHCA, with survival up to ≈30% in select highly organized systems: evolving data indicate outcomes driven largely by system performance, depending on local adaptation, high-volume, rigorous training, continuous quality improvement, integration of economics.
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theelso.bsky.social @theelso.bsky.social · 19/08/2026
📢 Join 4️⃣ ELSO Registry live Q&A. Bring questions about ❓data definitions/interpretation ❓challenging or complex cases ❓common data-entry questions/uncertainties 📅 Sep 9, 2026 ⏰ 8-9 AM EDT 🖥️ virtual meeting, live Q&A 🔓 no registration required 🔗 bit.ly/4gpjxWY
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M Velia Antonini @foamecmo.bsky.social · 18/08/2026
Characterization of ventilator-associated pneumonia in patients receiving #ECMO VAP common: incorporation of #ECLS settings (sustained SGF ⬆️) into composite definition may improve recognition of respiratory deterioration & VAP detection sensitivity. #FOAMcc @asaiojournal.bsky.social 🔓 bit.ly/4xdTbOY
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theelso.bsky.social @theelso.bsky.social · 17/08/2026
#ELSO2026: let's make some reflections during final plenary session moderated by Congress Chair, N Rintoul 🔮 Future vision of ECMO - P Alexander/R Lorusso 🔮 #ECMO then & now: from vision to reality - T Mueller 📰 ELSO updates: CEO remarks - C Stead 📌 Nashville, TN 📆 Sep 28 - Oct 1 🖇️ bit.ly/ELSO2026
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M Velia Antonini @foamecmo.bsky.social · 15/08/2026
Loss of pulsatility after #ECPR? 🔎 221 pts (2011 - 2024), high volume center 🖥️ loss of pulsatility = any PP = 0 during first 12 h after #ECMO 🖥️ at least 1️⃣ episode in nearly 50%. Pts had: ⚖️ llonger CA-to-ECMO ⚖️ higher mortality; each hour of loss of pulsatility increased risk 🔓 bit.ly/4wsKkrm
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M Velia Antonini @foamecmo.bsky.social · 14/08/2026
sNO in anticoagulation-contraindicated adult #ECMO to provide localized antiplatelet activity at blood-circuit interface without intentional systemic anticoagulation? 💨 20 ppm via ML SGF pathway for 2–72 days 🩸 no sNO-attributable safety events/complications @asaiojournal.bsky.social 🖇️ bit.ly/4wvJpq
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M Velia Antonini @foamecmo.bsky.social · 10/08/2026
#ECPR deployment in the emergency department setting for pediatric #IHCA: feasible but rare, one-in-20: are there missed opportunities beyond the median of one case per year?? 🖇️ bit.ly/4xu01iN
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M Velia Antonini @foamecmo.bsky.social · 09/08/2026
Any true benefit associated with TTM post CA? 📚 discussing its (flawed??) foundation, looking at available evidence: why TTM efficacy receded? 🧊 how we moved up optimal target, up to fever control 🌡️? ⏱️ why cooling period had contracted? 🫀 does population matter? @emcrit.bsky.social 🔓 bit.ly/4wmjMrR
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theelso.bsky.social @theelso.bsky.social · 06/08/2026
📖 Patient advocacy & helping families! Here chapter 26 of the The Blue Book #HumanizeICU 🛟 Supporting patients/families ⚖️ Ethical concerns 💪🏼 Rehabilitation and role of #ECLS specialist 📘 Latest edition of ELSO #ECMO Specialist Training Manual is available in our online bookstore! 🛒 bit.ly/ELSObooks
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M Velia Antonini @foamecmo.bsky.social · 05/08/2026
Beating the odds: survival after #ECMO decannulation due to poor prognosis in #PedsICU? Recovery rare but possible! Prognostication in #ECLS uncertain; individualized, multidisciplinary, family-centered decision-making pivotal as considering discontinuation @asaiojournal.bsky.social 🖇️ bit.ly/458VYwh
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M Velia Antonini @foamecmo.bsky.social · 04/08/2026
Cerebro‑cardiovascular coupling in #ECMO? Monitoring pivotal for neuroprotective management! 🔍 study evaluating cerebral hemodynamics in adults with CS on VA #ECLS 🖥️ Combined TCD + rSO2 offers insight into cerebral perfusion & cardiac performance/recovery @asaiojournal.bsky.social 🖇️ bit.ly/4w9slWN
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M Velia Antonini @foamecmo.bsky.social · 01/08/2026
Early rehabilitation in patients in VV #ECMO as bridge to recovery 💪🏼 consistent #ICURehab exposure may serve primarily as marker of physiologic stability/resilience + recovery potential, and may reflect potentially modifiable therapeutic exposure in ECLS. @asaiojournal.bsky.social 🖇️ bit.ly/3REOf67
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M Velia Antonini @foamecmo.bsky.social · 31/07/2026
🚑 Decannulation success after #ECMO in #OHCAdepends on multiple interrelated factors, bedside-assessable & noninvasive. Optimizing modifiable factors as myocardial recovery, vasopressor requirements, blood flow requirements could improve decannulation outcomes. #FOAMcc #FOAMecmo 🖇️ bit.ly/4h8EcjY
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M Velia Antonini @foamecmo.bsky.social · 29/07/2026
Micro-axial flow pump vs VA #ECMO for high-risk PCI 🫀 pts w complex three-vessel disease, unprotected left main coronary disease or last patent conduit + LVEF ≤35% mAFP non-inferior to ECMO for major adverse events + shorter post-procedural LoS/fewer device-related adverse events 🖇️ bit.ly/4pIr9YF
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M Velia Antonini @foamecmo.bsky.social · 27/07/2026
OD following MAiD: recommendations of Transplantation Society providing guidance to support end-of-life wishes while safeguarding ethical/legal standards, and maintaining trust in MAiD & #transplantation: ⚖️ regulatory safeguards 📋 clinical pathway 🔑 key ethical considerations 🔓 bit.ly/4hAZuqx
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M Velia Antonini @foamecmo.bsky.social · 27/07/2026
📖 Procedures on #ECMO??:#ECLS should not be considered a barrier to any intervention or surgery! With proper planning, a broad range of procedures can be safely managed during the run! 📘 The Blue Book: latest edition of @theelso.bsky.social #ECMO Specialist Training Manual 🛒 bit.ly/ELSObooks
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theelso.bsky.social @theelso.bsky.social · 24/07/2026
Celebrating Dr. Bartlett at #ELSO2026, 37th annual conference of the ELSO 📆 Plenary Day 1, September 29 from 8 am 🎶 A musical tribute to Dr. Bartlett 🎤 Bartlett lecture 💡 Spirit of innovation: the Bartlett legacy 🎥 Bartlett celebration of life video & commentary 📌 Nashville, TN 🖇️ bit.ly/ELSO2026
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M Velia Antonini @foamecmo.bsky.social · 23/07/2026
Modeling the cost-effectiveness of implementing #ECPR strategy in refractory #OHCA vs cCPR 🚑 Cost-effectiveness of ECPR sensitive to delays in transport and initiation, highlighting need to define eligibility criteria + optimize prehospital system. @critcaremed.bsky.social 🖇️ bit.ly/4wfzVjl
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M Velia Antonini @foamecmo.bsky.social · 22/07/2026
Normothermic regional perfusion in cDCDD @esottransplant.bsky.social consensus 📋 definitions ⚙️ MP 🩺 team & training 🩸 #NRP & its technical success 🫀🫁 preservation of lung/heart function 📋 evaluation of donor organs ⏱️ sequence of recovery ⚖️ ethics 🧠 brain perfusion 🔍 unmet needs 🔓 bit.ly/NRPconsensus
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M Velia Antonini @foamecmo.bsky.social · 20/07/2026
#ECMO in congenital lung malformations severe respiratory failure in early infancy?? 🔍 ELSO Registry study aimed to determine incidence of #ECLS use and identify predictors of survival @asaiojournal.bsky.social #PedsICU 🖇️ bit.ly/3TaSpD3
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