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Percutaneous cannulation w smaller arterial cannula (15Fr) for VA-#ECMO now has become the standard. Fewer infections and improved survival are noted. Always use #ultrasound guided insertion! Use opposite sites for venous and art cannula. #combes #ISICEM19

#Hunt on hemostatic problems during #ECMO: “what is for sure: by using a protocol, you improve care”. That is probably because you level up your team at all moments of the day and especially the night! #ISICEM19

Severe acute necrotizing pancreatitis: Wait&See approach - ICU support - early sphincterectomy if indicated - early enteral nutrition either jejunal either gastric (if supported) - NO antibiotic prophylaxis - monitor necrosis - delay surgery as much as possible #ISICEM19 #Laterre

#Curtis on treatment decisions in #ECMO pts: - ECMO should be viewed as a time-limited trial where “we hope for the best but prepare for the worst” - Don’t over-promise and do not use very rigid time periods #ISICEM19

#Hess on spontaneous ventilation modes: Evidence is lacking that any mode is clearly superior to others. #ISICEM19

Important Take Home points on spontaneous assisted breathing but the difficulty remains how to measure and adapt in clinical practice. #Ferguson #ISICEM19

The diaphragm is very sensitive to disuse and hence atrophy. So early spontaneous breathing should be indicated. On the other hand, excessive efforts also lead to disuse and might cause #VILI! Difficult balance. #ISICEM19 #brochard

Delayed admission from the #ED to the #ICU is associated with worse outcomes! Not surprising but a strong motivator for improving collaboration and patientflow in our critical care services! #ISICEM19 ccforum.biomedcentral.com/articles/10.11…

Adjunctive Intermittent Pneumatic Compression for Venous Thromboprophylaxis: No added value to pharmacologic thromboprophylaxis in #ICU patients! We almost never practized pneumatic compression anyway. #NEJM nejm.org/doi/full/10.10…

Coronary Angiography after Cardiac Arrest without ST-Segment Elevation: No survival benefit ! #NEJM #COACT nejm.org/doi/full/10.10…

De dienst longziekten van AZ Delta heeft de internationale Value-Based Healthcare Prize 2019 gekregen voor haar digitale #zorgpad longkanker. De prijs werd toegekend door een jury van internationale experts. #VBHCPrize2019 bit.ly/2IWdYB9

1940s anaesthesia video tutorial - how to manage laryngospasm. Fascinating and terrifying! youtube.com/watch?v=MP1jTF…

You are very welcome on our symposium on saturday may 11th : FOCUS ON CORONARY INTERVENTIONS with live cases! #roeselare #belgium #azdelta #cardio #deltacardio #vives