Extracorporeal Membrane Oxygenation Discontinuation Due to Resource Limitations
ASAIO Journal 72(7):p 604-613, July 2026. | Link: https://ow.ly/uRR45106nq5
#ASAIOJ #ClinicalCriticalCare #ECMO #CriticalCare #IntensiveCare #MedicalResearch #HealthcareInnovation #COVID-19 #decannulation #disparities
ASAIO Journal 72(7):p 604-613, July 2026. | Link: https://ow.ly/uRR45106nq5
#ASAIOJ #ClinicalCriticalCare #ECMO #CriticalCare #IntensiveCare #MedicalResearch #HealthcareInnovation #COVID-19 #decannulation #disparities
November 14, 2026 at 11:25 AM
Extracorporeal Membrane Oxygenation Discontinuation Due to Resource Limitations
ASAIO Journal 72(7):p 604-613, July 2026. | Link: https://ow.ly/uRR45106nq5
#ASAIOJ #ClinicalCriticalCare #ECMO #CriticalCare #IntensiveCare #MedicalResearch #HealthcareInnovation #COVID-19 #decannulation #disparities
ASAIO Journal 72(7):p 604-613, July 2026. | Link: https://ow.ly/uRR45106nq5
#ASAIOJ #ClinicalCriticalCare #ECMO #CriticalCare #IntensiveCare #MedicalResearch #HealthcareInnovation #COVID-19 #decannulation #disparities
🌑 The dark side of ECMO: complications
🦵🏻 Vascular complications on VA #ECMO
🩸 Accidental decannulation
⛔️ Spinal cord ischemia
🩹 Wound complications
🩸Too thin to clot, too sick to scope
🎥 Virtual #ELSO2026 is available! Register at
🎥 bit.ly/4rUws8A
If you joined in Nashville visit
🎥 bit.ly/4ASyWZh
🦵🏻 Vascular complications on VA #ECMO
🩸 Accidental decannulation
⛔️ Spinal cord ischemia
🩹 Wound complications
🩸Too thin to clot, too sick to scope
🎥 Virtual #ELSO2026 is available! Register at
🎥 bit.ly/4rUws8A
If you joined in Nashville visit
🎥 bit.ly/4ASyWZh
October 28, 2026 at 5:54 PM
🌑 The dark side of ECMO: complications
🦵🏻 Vascular complications on VA #ECMO
🩸 Accidental decannulation
⛔️ Spinal cord ischemia
🩹 Wound complications
🩸Too thin to clot, too sick to scope
🎥 Virtual #ELSO2026 is available! Register at
🎥 bit.ly/4rUws8A
If you joined in Nashville visit
🎥 bit.ly/4ASyWZh
🦵🏻 Vascular complications on VA #ECMO
🩸 Accidental decannulation
⛔️ Spinal cord ischemia
🩹 Wound complications
🩸Too thin to clot, too sick to scope
🎥 Virtual #ELSO2026 is available! Register at
🎥 bit.ly/4rUws8A
If you joined in Nashville visit
🎥 bit.ly/4ASyWZh
📖 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
🫁 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
September 14, 2026 at 5:31 PM
📖 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
🫁 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
Another successful Toy Story decannulation.
December 3, 2024 at 4:26 AM
Another successful Toy Story decannulation.
Proud to share our work on Blood Cell Saver use in #ECMO decannulation. Hats off to lead authours Valentina Camarda and Barnaby Sanderson
Do you use Cell saver ?
🔗 ccforum.biomedcentral.com/articles/10....
Do you use Cell saver ?
🔗 ccforum.biomedcentral.com/articles/10....
December 7, 2024 at 10:21 AM
Proud to share our work on Blood Cell Saver use in #ECMO decannulation. Hats off to lead authours Valentina Camarda and Barnaby Sanderson
Do you use Cell saver ?
🔗 ccforum.biomedcentral.com/articles/10....
Do you use Cell saver ?
🔗 ccforum.biomedcentral.com/articles/10....
Weaning from of V‑AV #ECMO How to assess readiness for decannulation of both VV & VA components? Novel rapid approach using off-sweep + controlled backflow test to allow for prompt/complete removal of #ECLS which could be appropriate for selected patients. Thoughts? pubmed.ncbi.nlm.nih.gov/37524890/
January 10, 2025 at 9:27 PM
Weaning from of V‑AV #ECMO How to assess readiness for decannulation of both VV & VA components? Novel rapid approach using off-sweep + controlled backflow test to allow for prompt/complete removal of #ECLS which could be appropriate for selected patients. Thoughts? pubmed.ncbi.nlm.nih.gov/37524890/
I have a question about prolonged tracheostomy that doesn’t require mechanical ventilation with successful capping over a long time with resultant decannulation failure. Can I message you and ask you some questions,please ?
March 28, 2025 at 7:54 PM
I have a question about prolonged tracheostomy that doesn’t require mechanical ventilation with successful capping over a long time with resultant decannulation failure. Can I message you and ask you some questions,please ?
WJPCHS Online First Article Published: Safety of Delayed Venoarterial Extracorporeal Membrane Oxygenation Decannulation in Pediatric Patients. #WJPCHS #congenitalheartsurgery https://bit.ly/3TKxbvX
August 1, 2026 at 12:00 AM
WJPCHS Online First Article Published: Safety of Delayed Venoarterial Extracorporeal Membrane Oxygenation Decannulation in Pediatric Patients. #WJPCHS #congenitalheartsurgery https://bit.ly/3TKxbvX
WJPCHS V16 N6 Published: Favorable Vessel Patency Following Carotid Artery Reconstruction During Extracorporeal Membrane Oxygenation Decannulation in Children With Congenital Heart Disease. #WJPCHS #congenitalheartsurgery https://bit.ly/4qlctPb
October 21, 2025 at 6:33 AM
WJPCHS V16 N6 Published: Favorable Vessel Patency Following Carotid Artery Reconstruction During Extracorporeal Membrane Oxygenation Decannulation in Children With Congenital Heart Disease. #WJPCHS #congenitalheartsurgery https://bit.ly/4qlctPb
Really interesting RCT looking at the effect of using IQoro device on patients with acquired brain injuries with tracheostomies compared to normal practice. No difference in decannulation/trache outcomes. IQoro actually worse on dysphagia outcomes! #bskySPEECHIES link.springer.com/article/10.1...
Effect of Oral Neuromuscular Training on Tracheostomy Decannulation and Swallowing Function in Patients with Severe Acquired Brain Injury: A Pilot Randomized Controlled Trial - Dysphagia
There is a lack of evidence on training modalities for improving swallowing function in tracheostomized patients. The objective was to investigate the effect of oral neuromuscular training on decannul...
link.springer.com
July 24, 2025 at 5:28 PM
Really interesting RCT looking at the effect of using IQoro device on patients with acquired brain injuries with tracheostomies compared to normal practice. No difference in decannulation/trache outcomes. IQoro actually worse on dysphagia outcomes! #bskySPEECHIES link.springer.com/article/10.1...
they become again
My last piece was about the start of the testing and the unsayable mysteries of the decannulation room. Today we talk about the results. After a day of unexpected waits and delays I finally had a phone call at 18:00 from my excellent doctor at the Royal Marsden to tell me that…
My last piece was about the start of the testing and the unsayable mysteries of the decannulation room. Today we talk about the results. After a day of unexpected waits and delays I finally had a phone call at 18:00 from my excellent doctor at the Royal Marsden to tell me that…
they become again
My last piece was about the start of the testing and the unsayable mysteries of the decannulation room. Today we talk about the results. After a day of unexpected waits and delays I finally had a phone call at 18:00 from my excellent doctor at the Royal Marsden to tell me that the MRI, CT and bloods were still clear. …
bearoneill.com
September 26, 2025 at 6:45 PM
they become again
My last piece was about the start of the testing and the unsayable mysteries of the decannulation room. Today we talk about the results. After a day of unexpected waits and delays I finally had a phone call at 18:00 from my excellent doctor at the Royal Marsden to tell me that…
My last piece was about the start of the testing and the unsayable mysteries of the decannulation room. Today we talk about the results. After a day of unexpected waits and delays I finally had a phone call at 18:00 from my excellent doctor at the Royal Marsden to tell me that…
The Decannulation Room
Today I had the start of my first six monthly review to see how my cancer treatment is progressing. I say start as I will not know the answer for another fortnight. Today was about tests I had three appointments booked in at the Royal Marsden today - the first at 10am was…
Today I had the start of my first six monthly review to see how my cancer treatment is progressing. I say start as I will not know the answer for another fortnight. Today was about tests I had three appointments booked in at the Royal Marsden today - the first at 10am was…
The Decannulation Room
Today I had the start of my first six monthly review to see how my cancer treatment is progressing. I say start as I will not know the answer for another fortnight. Today was about tests I had three appointments booked in at the Royal Marsden today - the first at 10am was bloods, the next at 11.10 was an MRI of my liver, and the third at 15:45 was a CT scan of my thorax, abdomen and pelvis.
bearoneill.com
September 15, 2025 at 4:46 PM
The Decannulation Room
Today I had the start of my first six monthly review to see how my cancer treatment is progressing. I say start as I will not know the answer for another fortnight. Today was about tests I had three appointments booked in at the Royal Marsden today - the first at 10am was…
Today I had the start of my first six monthly review to see how my cancer treatment is progressing. I say start as I will not know the answer for another fortnight. Today was about tests I had three appointments booked in at the Royal Marsden today - the first at 10am was…
If she is expected to survive decannulation, then shouldn’t this be her decision re future when she regains capacity? I don’t know if I’m in denial or whether I’ve not grasped something really essential about her condition? But my dr brother went home & seems to be not concerned she is going to die?
November 3, 2025 at 6:57 PM
If she is expected to survive decannulation, then shouldn’t this be her decision re future when she regains capacity? I don’t know if I’m in denial or whether I’ve not grasped something really essential about her condition? But my dr brother went home & seems to be not concerned she is going to die?
They say don’t know for sure she wouldn’t get back to life with a tracheostomy if decannulation fails, but they’re writing off the possibility of even trying to get her back there. A 60yo woman, cos of frailty, that’s not let’s forget was caused by 2 decades of iatrogenic harm in the first place!
November 3, 2025 at 6:25 PM
They say don’t know for sure she wouldn’t get back to life with a tracheostomy if decannulation fails, but they’re writing off the possibility of even trying to get her back there. A 60yo woman, cos of frailty, that’s not let’s forget was caused by 2 decades of iatrogenic harm in the first place!
Fluorescent Imaging-Guided Ligation of Lymphatic Leaks Following Decannulation From Extracorporeal Membrane Oxygenation
ASAIO Journal 72(5):p 384-389, May 2026
https://ow.ly/1f5B50YT8Y8
#ASAIO #ECMO
ASAIO Journal 72(5):p 384-389, May 2026
https://ow.ly/1f5B50YT8Y8
#ASAIO #ECMO
May 4, 2026 at 3:01 PM
Fluorescent Imaging-Guided Ligation of Lymphatic Leaks Following Decannulation From Extracorporeal Membrane Oxygenation
ASAIO Journal 72(5):p 384-389, May 2026
https://ow.ly/1f5B50YT8Y8
#ASAIO #ECMO
ASAIO Journal 72(5):p 384-389, May 2026
https://ow.ly/1f5B50YT8Y8
#ASAIO #ECMO
Editor's choice Issue 2 2026
The association between decannulation delay and clinical outcomes in patients deemed ready for separation from venoarterial extracorporeal membrane oxygenation: A retrospective observational cohort study #ICU
www.australiancriticalcare.com/article/S103...
The association between decannulation delay and clinical outcomes in patients deemed ready for separation from venoarterial extracorporeal membrane oxygenation: A retrospective observational cohort study #ICU
www.australiancriticalcare.com/article/S103...
April 8, 2026 at 3:32 AM
Editor's choice Issue 2 2026
The association between decannulation delay and clinical outcomes in patients deemed ready for separation from venoarterial extracorporeal membrane oxygenation: A retrospective observational cohort study #ICU
www.australiancriticalcare.com/article/S103...
The association between decannulation delay and clinical outcomes in patients deemed ready for separation from venoarterial extracorporeal membrane oxygenation: A retrospective observational cohort study #ICU
www.australiancriticalcare.com/article/S103...
10 days and 2 studies published on ECMO cannula colonization.
Other findings:
-60% on antifungal therapy at decannulation
-Minimal Gram-negative, very different than studies in Asia
Likely geographic + pt factors influence colonization.
Other findings:
-60% on antifungal therapy at decannulation
-Minimal Gram-negative, very different than studies in Asia
Likely geographic + pt factors influence colonization.
May 13, 2025 at 8:58 PM
10 days and 2 studies published on ECMO cannula colonization.
Other findings:
-60% on antifungal therapy at decannulation
-Minimal Gram-negative, very different than studies in Asia
Likely geographic + pt factors influence colonization.
Other findings:
-60% on antifungal therapy at decannulation
-Minimal Gram-negative, very different than studies in Asia
Likely geographic + pt factors influence colonization.
Controversies in ECMO infections:
New 🇫🇷 article showing post decannulation fever often associated with infection (72%) or clot (11%)
www.sciencedirect.com/science/arti...
Much higher than previous 🇺🇸work showing ~10% of post decannulation fever is infectious:
doi.org/10.1177/0267...
#IDSky
New 🇫🇷 article showing post decannulation fever often associated with infection (72%) or clot (11%)
www.sciencedirect.com/science/arti...
Much higher than previous 🇺🇸work showing ~10% of post decannulation fever is infectious:
doi.org/10.1177/0267...
#IDSky
www.sciencedirect.com
November 16, 2024 at 3:15 PM
Controversies in ECMO infections:
New 🇫🇷 article showing post decannulation fever often associated with infection (72%) or clot (11%)
www.sciencedirect.com/science/arti...
Much higher than previous 🇺🇸work showing ~10% of post decannulation fever is infectious:
doi.org/10.1177/0267...
#IDSky
New 🇫🇷 article showing post decannulation fever often associated with infection (72%) or clot (11%)
www.sciencedirect.com/science/arti...
Much higher than previous 🇺🇸work showing ~10% of post decannulation fever is infectious:
doi.org/10.1177/0267...
#IDSky
Did you know that we have online access to the latest edition of the Royal Marsden Manual?
Learn how to perform many different nursing procedures, from apheresis to tracheostomy decannulation.
Access it here: rmmonline.co.uk
Don't forget to log in with @openathens.bsky.social!
Learn how to perform many different nursing procedures, from apheresis to tracheostomy decannulation.
Access it here: rmmonline.co.uk
Don't forget to log in with @openathens.bsky.social!
July 6, 2026 at 8:13 AM
Did you know that we have online access to the latest edition of the Royal Marsden Manual?
Learn how to perform many different nursing procedures, from apheresis to tracheostomy decannulation.
Access it here: rmmonline.co.uk
Don't forget to log in with @openathens.bsky.social!
Learn how to perform many different nursing procedures, from apheresis to tracheostomy decannulation.
Access it here: rmmonline.co.uk
Don't forget to log in with @openathens.bsky.social!
What is a trach cap? This is a solid plastic piece placed on the end of the trach that mimics having the neck fully closed. It's typically used a few weeks before decannulation to see if the patient will do well breathing without the extra airhole. It can still be coughed off.
January 11, 2025 at 9:38 PM
What is a trach cap? This is a solid plastic piece placed on the end of the trach that mimics having the neck fully closed. It's typically used a few weeks before decannulation to see if the patient will do well breathing without the extra airhole. It can still be coughed off.
What is decannulation? This is when the trach patient no longer needs to have a trach, so it is removed. In many people, the neck closes up on its own. Some people, like me, need surgery to get it fully closed.
January 8, 2025 at 4:29 AM
What is decannulation? This is when the trach patient no longer needs to have a trach, so it is removed. In many people, the neck closes up on its own. Some people, like me, need surgery to get it fully closed.
Although the timing to initiate tMCS weaning has not been well studied & there is no single validated score or metric that can be reliably used to determine successful tMCS weaning or readiness for decannulation, these are some of the proposed weaning strategies for tMCS:
September 10, 2025 at 3:07 PM
Although the timing to initiate tMCS weaning has not been well studied & there is no single validated score or metric that can be reliably used to determine successful tMCS weaning or readiness for decannulation, these are some of the proposed weaning strategies for tMCS:
#ESSD2025 Day 1 of the Tracheostomy Course dives into the psychosocial impact of tracheostomy, secretion management, leveraging of FEES for precision care, and explores weaning and decannulation strategies with top-tier experts! 💥 #Tracheostomy #Dysphagia #Healthcare #holisticapproach
October 7, 2025 at 11:01 AM
#ESSD2025 Day 1 of the Tracheostomy Course dives into the psychosocial impact of tracheostomy, secretion management, leveraging of FEES for precision care, and explores weaning and decannulation strategies with top-tier experts! 💥 #Tracheostomy #Dysphagia #Healthcare #holisticapproach