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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.
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Pye on ECMO. SMACC 2013.
1.
2.
A Piece History
3.
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ECMO
7.
ECMO The Final
Fron7er of Life Support
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ECMO The Final
Fron7er of Life Support Or
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ECMO The Final
Fron7er of Life Support Or Blowing Smoke Up Your Arse
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11.
From Humble Beginnings To
ECMO Anywhere
12.
Started 1972 Reported
MJA 1974
13.
NEJMed 1972
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15.
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Big Warren Zapol NIH
VA ECMO ARDS Trial Late 70’s Zapol, Snider, Hill, BartleU, Morris et al
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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
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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
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Lismore 597km 247km
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3,151km Cairns 1,970km Townsville 1,690km Lismore 597km 247km
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3,151km Cairns 1,970km Townsville 1,690km Lismore 597km 247km Noumea 1,970km
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Smoke in Cockpit
and Cabin
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Smoke in Cockpit
and Cabin Flying into a Cyclone
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96 Days on
ECMO VV 84 Days à VA 2 Days à VV 10 Days
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VA ECMO
105.
Go Hard and
Go Fast !!
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Shin et al Samsung
Medical Centre, Korea
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Shin et al 1,951
beds
114.
Shin et al
Crit Care Med 2011
115.
Shin et al
• Age: 18 – 80 • 24/7 Service • 85 Cases over 6 years
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Shelf Life: Best
Before Midnight 13.6.2013
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Shelf Life: Best
Before Midnight 13.6.2013
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