Pye on ECMO. SMACC 2013.

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

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Pye on ECMO. SMACC 2013.

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

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