M Velia Antonini (@foamecmo) 's Twitter Profile
M Velia Antonini

@foamecmo

Perfusionist ECMO & NRP specialist 🫁🫘🫀 & 🖥️ POCUS
🪑Chair Normothermic Regional Perfusion EuroELSO WG
📱#SoMe Director @ELSOOrg/SoMe Editor @asaiojournal

ID: 249568182

calendar_today09-02-2011 09:40:21

17,17K Tweet

14,14K Followers

804 Following

M Velia Antonini (@foamecmo) 's Twitter Profile Photo

The SAMU de PARIS team #ECMO machine... ready 24/4, perfectly equipped/organized to implement out-of-hospital #ECLS cannulation in pts experiencing refractory cardiac arrest in Paris! Cannulas, machines with pre-primed circuits + blender & monitoring devices + everything for ALS

The <a href="/samudeparis/">SAMU de PARIS</a> team #ECMO machine... ready 24/4, perfectly equipped/organized to implement out-of-hospital #ECLS cannulation in pts experiencing refractory cardiac arrest in Paris! Cannulas, machines with pre-primed circuits + blender &amp; monitoring devices + everything for ALS
M Velia Antonini (@foamecmo) 's Twitter Profile Photo

Pre-hospital #ECPR in refractory cardiac arrest: 🚑 PRECARE pilot feasibility study of pre-hospital #ECMO delivered by pre-hospital physicians 🇦🇺 🫀 123 confirmed CA, 10% received pre-hospital #ECLS, all successfully cannulated on scene in CA ⏱️ mean time from dispatch to team

Pre-hospital #ECPR in refractory cardiac arrest:
🚑 PRECARE pilot feasibility study of pre-hospital #ECMO delivered by pre-hospital physicians 🇦🇺
🫀 123 confirmed CA, 10% received pre-hospital #ECLS, all successfully cannulated on scene in CA
⏱️ mean time from dispatch to team
M Velia Antonini (@foamecmo) 's Twitter Profile Photo

📢 E-NPEC, the ELSO Neonatal & Pediatric ECMO Practitioner Certification is NOW LIVE‼️ E-NPEC will certify that #ECMO clinicians demonstrated completion of 🎓 didactic course 🛠️ simulation lab 🛌 bedside experience All info at 🖇️ bit.ly/E-NPEC 📪

📢 E-NPEC, the ELSO Neonatal &amp; Pediatric ECMO Practitioner Certification is NOW LIVE‼️ E-NPEC will certify that #ECMO clinicians demonstrated completion of
🎓 didactic course 
🛠️ simulation lab
🛌  bedside experience
All info at 
🖇️ bit.ly/E-NPEC 
📪
M Velia Antonini (@foamecmo) 's Twitter Profile Photo

🧊 HELP Score to estimate probability of survival following #extracorporeal rewarming in patients suffering non–asphyxia-related hypothermic cardiac arrest (core temperature ≤28°C) in adults 4️⃣ survival predictors identified: outdoors hypothermia, higher Hb, lower serum K+ &

🧊 HELP Score to estimate probability of survival following #extracorporeal rewarming in patients suffering non–asphyxia-related hypothermic cardiac arrest (core temperature ≤28°C) in adults 
4️⃣ survival predictors identified: outdoors hypothermia, higher Hb, lower serum K+ &amp;
M Velia Antonini (@foamecmo) 's Twitter Profile Photo

🚑 Back from #ParisRescue: course to learn, discuss, train/simulate on #ECLS & endovascular #resus w SAMU de PARIS #ECMO team + #ECPR #REBOA experts from all over the world. This year cannulation on the beach 🏖️ + meeting w rescuers/survivors! SAUV Life 🔗 paris-ecmo.com

🚑 Back from #ParisRescue: course to learn, discuss, train/simulate on #ECLS &amp; endovascular #resus w <a href="/samudeparis/">SAMU de PARIS</a> #ECMO team + #ECPR #REBOA experts from all over the world. This year cannulation on the beach 🏖️ + meeting w rescuers/survivors! <a href="/SAUVLife/">SAUV Life</a>
🔗 paris-ecmo.com
M Velia Antonini (@foamecmo) 's Twitter Profile Photo

Optimal #PEEP & recruitment-to-in patients with severe #ARDS undergoing ultra‑protective lung ventilation during VV #ECMO 🫁 R/I ratio feasible, providing valuable indications for guiding PEEP titration 🫁 R/I ratio > 0.34 may help identify pts likely to benefit from further

Optimal #PEEP &amp; recruitment-to-in patients with severe #ARDS undergoing ultra‑protective lung ventilation during VV #ECMO  
🫁 R/I ratio feasible, providing valuable indications for guiding PEEP titration
🫁 R/I ratio &gt; 0.34 may help identify pts likely to benefit from further
M Velia Antonini (@foamecmo) 's Twitter Profile Photo

Recirculation in VV #ECMO: ⚗️🐖 Several single (SLC) + dual lumen cannula (DLC) configurations, positions, EBF, CO, CVP assessed for impact 📏 with SLC, cannula size or retraction beyond threshold distance had minimal 📏 with DLC exact positioning crucial, as suboptimal

Recirculation in VV #ECMO:
⚗️🐖 Several single (SLC) + dual lumen cannula (DLC) configurations, positions, EBF, CO, CVP assessed for impact 
📏 with SLC, cannula size or retraction beyond threshold distance had minimal
📏 with DLC exact positioning crucial, as suboptimal
M Velia Antonini (@foamecmo) 's Twitter Profile Photo

The future of liver perfusion: #ESOTwebinar on promising advancements in liver #transplantation, EVMP & NRP, transforming how livers are preserved, evaluated, transplanted. 🩸 How to evaluate a liver graft during normothermic regional perfusion?? Which DCD grafts should be

The future of liver perfusion: #ESOTwebinar on promising advancements in liver #transplantation, EVMP &amp; NRP, transforming how livers are preserved, evaluated, transplanted.
🩸 How to evaluate a liver graft during normothermic regional perfusion?? Which DCD grafts should be
M Velia Antonini (@foamecmo) 's Twitter Profile Photo

Bleeding definitions in studies involving neonates & children treated with #ECMO, SR/MA 🔍 extensive heterogeneity: 69 unique definitions used across 169 included articles; intracranial hemorrhage + ELSO most common 📊overall prevalence of bleeding 33%: significant variability

Bleeding definitions in studies involving neonates &amp; children treated with #ECMO, SR/MA
🔍 extensive heterogeneity: 69 unique definitions used across 169 included articles; intracranial hemorrhage + ELSO most common 
📊overall prevalence of bleeding 33%: significant variability
M Velia Antonini (@foamecmo) 's Twitter Profile Photo

LAVA #ECMO, incorporating LA drainage into #ECLS circuit to reduce LV preload, mitigate pulmonary congestion + maintain systemic perfusion: 🫀 role in complex hemodynamic profiles ie related to valvular heart disease or VSD 🫀 biv failure 🫀 LV Thrombus ⚖️ comparison vs VA ECMO,

LAVA #ECMO, incorporating LA drainage into #ECLS circuit to reduce LV preload, mitigate pulmonary congestion + maintain systemic perfusion:
🫀 role in complex hemodynamic profiles ie related to valvular heart disease or VSD
🫀 biv failure
🫀 LV Thrombus
⚖️ comparison vs VA ECMO,
M Velia Antonini (@foamecmo) 's Twitter Profile Photo

Coronary, renal & cerebral perfusion of VA #ECMO + #IABP in refractory cardiogenic shock 🔬in vitro study 🫀hemodynamic effects depend on CO, HR, site of #ECLS arterial cannulation If severe low CO, axillary artery (vs femoral) cannulation + IABP showed greatest benefit in

Coronary, renal &amp; cerebral perfusion of VA #ECMO + #IABP in refractory cardiogenic shock 
🔬in vitro study
🫀hemodynamic effects depend on CO, HR, site of #ECLS arterial cannulation 
If severe low CO, axillary artery (vs femoral) cannulation + IABP showed greatest benefit in
M Velia Antonini (@foamecmo) 's Twitter Profile Photo

Coronary, renal & cerebral perfusion of VA #ECMO + #IABP in refractory cardiogenic shock 🔬in vitro study 🫀hemodynamic effects depend on CO, HR, site of #ECLS arterial cannulation If severe low CO, axillary artery (vs femoral) cannulation + IABP showed greatest benefit in

Coronary, renal &amp; cerebral perfusion of VA #ECMO + #IABP in refractory cardiogenic shock 
🔬in vitro study
🫀hemodynamic effects depend on CO, HR, site of #ECLS arterial cannulation 
If severe low CO, axillary artery (vs femoral) cannulation + IABP showed greatest benefit in
Jordi Riera (@jrdelbrio) 's Twitter Profile Photo

Comprehensive #ECMO course in Vall d'Hebron Barcelona. Endorsed by ELSO! Delighted to have on board 🔝 international experts: Demetris Yannopoulos, Eddy Fan, M Velia Antonini, R. Lorusso, T. Taooles, G. Martucci, M. Kotwas, R. Saavedra.

M Velia Antonini (@foamecmo) 's Twitter Profile Photo

🛫 Resuscitation in the #ECPR era? We’re no longer flying blind... As #extracorporeal cardiopulmonary resuscitation is increasingly utilized for refractory CA, we learn significantly more about resuscitation. #ECMO rapidly restores perfusion, forcing initial hemodynamic survival,

🛫 Resuscitation in the #ECPR era? We’re no longer flying blind...
As #extracorporeal cardiopulmonary resuscitation is increasingly utilized for refractory CA, we learn significantly more about resuscitation. #ECMO rapidly restores perfusion, forcing initial hemodynamic survival,
M Velia Antonini (@foamecmo) 's Twitter Profile Photo

We need you to understand how to wean patients from Veno-Venous #ECMO... Participate in WeanECMO, an international, multicenter, cross-sectional survey, investigating current practices for weaning patients from VV #ECLS. The survey is endorsed by ESICM 🔗

M Velia Antonini (@foamecmo) 's Twitter Profile Photo

ECPR for refractory cardiac arrest 🩺 physiology/rationale ⚒️ technical considerations 🔍 (growing) evidence ‼️ special circumstances ⚖️ patient selection ⏱️ timing/setting & post-ECPR care 🎓 training 🚧 risks/complications 🥅 goals 🎁 organ donation 💵 economic impact &

ECPR for refractory cardiac arrest
🩺 physiology/rationale
 ⚒️ technical considerations
🔍 (growing) evidence
‼️ special circumstances
⚖️ patient selection
⏱️ timing/setting &amp; post-ECPR care
🎓 training 
🚧 risks/complications
🥅 goals 
🎁 organ donation
💵 economic impact &amp;
M Velia Antonini (@foamecmo) 's Twitter Profile Photo

The The ISHLT Consensus Statement on periop use of #ECLS in lung #transplantation: III - Postoperative Considerations 🫁 planning: criteria for postoperative #ECLS 🫁 postoperative ECLS implementation 🫁 management 🫁 ECLS rescue outcomes, weaning criteria, novel multicenter

The <a href="/ISHLT/">The ISHLT</a> Consensus Statement on periop use of #ECLS in lung #transplantation: III - Postoperative Considerations
🫁 planning: criteria for postoperative #ECLS
🫁 postoperative ECLS implementation
🫁 management
🫁 ECLS rescue outcomes, weaning criteria, novel multicenter
M Velia Antonini (@foamecmo) 's Twitter Profile Photo

LV decompression in pediatric patients on VA #ECMO? Several challenges in this vulnerable population: small size limits range of available techniques. Role remains controversial and variably adopted. Benefit appears more consistent in PC setting. Despite a generally favourable

LV decompression in pediatric patients on VA #ECMO?
Several challenges in this vulnerable population: small size limits range of available techniques. Role remains controversial and variably adopted. Benefit appears more consistent in PC setting. Despite a generally favourable
M Velia Antonini (@foamecmo) 's Twitter Profile Photo

Multistage jugular cannulation: leaving femoral vein behind in VA #ECMO?? In this series, percutaneous direct SVC drainage with 38 cm drainage cannula allowed for 🩸enhanced blood flow stability, with reduced risk for drainage insufficiency and differential oxygenation 💪🏼

Multistage jugular cannulation: leaving femoral vein behind in VA #ECMO?? In this series, percutaneous direct SVC drainage with 38 cm drainage cannula allowed for 
🩸enhanced blood flow stability, with reduced risk for drainage insufficiency and differential oxygenation 
💪🏼