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Pye on ECMO. SMACC 2013.
Pye on ECMO. SMACC 2013.
Pye on ECMO. SMACC 2013.
Pye on ECMO. SMACC 2013.
Pye on ECMO. SMACC 2013.
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Pye on ECMO. SMACC 2013.
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Pye on ECMO. SMACC 2013.

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Roger Pye offers up a graphic description of advances in ECMO and ECMO retrieval services.

Roger Pye offers up a graphic description of advances in ECMO and ECMO retrieval services.

Published in: Travel, Technology
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Transcript

  • 1. A  Piece  History
  • 2. ECMO
  • 3. ECMO   The  Final  Fron7er  of  Life  Support
  • 4. ECMO   The  Final  Fron7er  of  Life  Support Or
  • 5. ECMO   The  Final  Fron7er  of  Life  Support Or Blowing  Smoke  Up  Your  Arse
  • 6. From  Humble  Beginnings To  ECMO  Anywhere
  • 7. Started  1972  Reported  MJA  1974
  • 8. NEJMed  1972
  • 9. Big  Warren  Zapol NIH  VA  ECMO  ARDS  Trial  Late  70’s     Zapol,  Snider,  Hill,  BartleU,  Morris  et  al
  • 10. St  Vincent’s  ECMO  Total  Cases   50 50 43 45 41 38 33 25 18 13 13 6 0 2 2004 2005 2006 2007 2008 2009 2010 2011 2012
  • 11. St  Vincent’s  V-­‐V  ECMO  Cases V-­‐V  ECMO 20 19 14 13 7 5 2 2 2 2004 2005 2006 2007 2008 2009 2010 2011 2012
  • 12. Lismore 597km 247km
  • 13. 3,151km Cairns 1,970km Townsville 1,690km Lismore 597km 247km
  • 14. 3,151km Cairns 1,970km Townsville 1,690km Lismore 597km 247km Noumea 1,970km
  • 15. Smoke  in  Cockpit  and  Cabin
  • 16. Smoke  in  Cockpit  and  Cabin Flying  into  a  Cyclone
  • 17. 96  Days  on  ECMO VV  84  Days  à  VA  2  Days  à VV  10  Days
  • 18.  VA  ECMO
  • 19. Go  Hard  and  Go  Fast  !!
  • 20. Shin  et  al Samsung  Medical  Centre,  Korea
  • 21. Shin  et  al 1,951  beds
  • 22. Shin  et  al   Crit  Care  Med  2011
  • 23. Shin  et  al   • Age:  18  –  80 •  24/7  Service • 85  Cases  over  6  years
  • 24. X X
  • 25. Shelf  Life:   Best  Before  Midnight  13.6.2013
  • 26. Shelf  Life:   Best  Before  Midnight  13.6.2013

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