ELSO (The Extracorporeal Life Support Organization)’s Post

⏱️ Timing of Initiation of VA #ECMO in cardiogenic shock, earlier is better?? ELSO Registry analysis (2009-2019, >8.6K patients) showing association between initiation delays & higher mortality: ⏱️ median time from admission to #ECLS initiation 14h 📈 higher risk of death if initiation >24h after admission; each 12h increase incrementally associated with higher adjusted mortality 🫀association between longer time to ECMO/worse outcomes stronger if lower shock severity 📈 patients who had ECMO initiated within 24h: younger, more preceding cardiac arrest, worse acidosis 🚪Optimize of door-to-support time & avoid inappropriate delays (ie, for purely logistical reasons): ECMO centers should develop strategies to ensure that rescue ECMO can be deployed even during off-hours Open access #FOAMcc #FOAMecmo 🔓 https://bit.ly/4br0CYv ⏱️ With editorial: ECMO in CS: execution is something; timing is everything? 🔓 https://bit.ly/42uV7Uu

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