pye on ecmo. smacc 2013
DESCRIPTION
Roger Pye offers up a graphic description of advances in ECMO and ECMO retrieval services.TRANSCRIPT
A Piece History
ECMO
ECMO The Final Fron7er of Life Support
ECMO The Final Fron7er of Life Support
Or
ECMO The Final Fron7er of Life Support
Or
Blowing Smoke Up Your Arse
From Humble Beginnings
To ECMO Anywhere
Started 1972 Reported MJA 1974
NEJMed 1972
NIH VA ECMO ARDS Trial Late 70’s
Zapol, Snider, Hill, BartleU, Morris et al
Big Warren Zapol
St Vincent’s ECMO Total Cases
0
13
25
38
50
26
18
13
33
4345
41
50
2004 2005 2006 2007 2008 2009 2010 2011 2012
2 2
5
2
7
20
1413
19
2004 2005 2006 2007 2008 2009 2010 2011 2012
V-‐V ECMOSt Vincent’s V-‐V ECMO Cases
597km
247km
Lismore
3,151km
1,970km
1,690km
597km
247km
Cairns
Townsville
Lismore
3,151km
1,970km
1,970km
1,690km
597km
247km
Cairns
Townsville
Noumea
Lismore
Smoke in Cockpit and Cabin
Smoke in Cockpit and CabinFlying into a Cyclone
VV 84 Days à VA 2 Days à VV 10 Days
96 Days on ECMO
VA ECMO
Go Hard and Go Fast !!
Shin et al
Samsung Medical Centre, Korea
Shin et al
1,951 beds
Shin et al
Crit Care Med 2011
Shin et al
• Age: 18 – 80• 24/7 Service• 85 Cases over 6 years
X X
Shelf Life: Best Before Midnight 13.6.2013
Shelf Life: Best Before Midnight 13.6.2013
