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M Velia Antonini Profile
M Velia Antonini

@FOAMecmo

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Perfusionist ECMO & NRP specialist ๐Ÿซ๐Ÿซ˜๐Ÿซ€ & ๐Ÿ–ฅ๏ธ POCUS ๐Ÿช‘Chair Normothermic Regional Perfusion EuroELSO WG ๐Ÿ“ฑ#SoMe Director @ELSOOrg/SoMe Editor @asaiojournal

Italy
Joined February 2011
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@FOAMecmo
M Velia Antonini
1 year
TA #NRP in cDCD heart donors using closed #ECMO circuit, modified to provide ๐Ÿฉธ๐ŸŒก๏ธeffective NRP despite prolonged fWIT ๐Ÿซ€LV venting ๐Ÿซ€ fast conversion to central configuration as needed โญ•๏ธ shunt for recirculation ๐Ÿซง air management #FOAMcc @asaiojournal ๐Ÿ”“ https://t.co/O3tiwZmsGu
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@FOAMecmo
M Velia Antonini
10 hours
#ECMO following acute type A aortic dissection repair? ๐Ÿ” SR/MA ๐Ÿชฆ successful weaning 48.3%, but high in-hospital mortality = 72.4%; late mortality 5.8% per 100 pt/y ๐Ÿซ˜ AKI requiring CRRT 60.5% ๐Ÿง  neuro complications due to stroke 24.4% ๐Ÿฆต๐Ÿป limb ischemia 7.6% ๐Ÿฉธ bleeding requiring
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@FOAMecmo
M Velia Antonini
1 day
๐Ÿ“– Cardiac physiology by @JoeTonnaMD, Cory Alwardt, @AparnaHoskote @bhavpatel100 @demotucordis and Graeme MacLaren: let's open the Blue Book and take a look at Chapter 3: ๐Ÿฉธ DO2: rate of blood flow to the tissues, DO2 to the tissues, O2 utilization ๐Ÿซ cardiovascular physiology
@ELSOOrg
ELSO
1 day
๐Ÿ“– Cardiac physiology - Blue Book Chapter 3 ๐ŸฉธDO2 ๐Ÿซcardiovascular physiology in VV &๐Ÿซ€VA #ECMO ๐Ÿซ€CO estimation ๐Ÿซ๐Ÿซ€ physiologic approaches to hybrid modes ๐Ÿซ€ single-ventricle physiology ๐Ÿ“˜ latest ed of ELSO #ECMO Specialist Training Manual available at ๐Ÿ›’ https://t.co/u1vLUUE9nW
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@FOAMecmo
M Velia Antonini
3 days
๐ŸŽฅ #ECMO for respiratory failure: breakout session from day 1 of #ELSO2025: ๐Ÿซ beyond EOLIA: new populations and personalized ventilation for VV #ECMO @efan75 ๐Ÿซ oxy-RVAD VP ECMO versus veno-venous ECMO @asadusman ๐Ÿซ VV ECMO to de-sedate, extubate & mobilize in hypoxic
@ELSOOrg
ELSO
3 days
๐ŸŽฅ #ECMO for respiratory failure at #ELSO2025 ๐Ÿซ beyond EOLIA: new populations & personalized MV ๐Ÿซ oxy-RVAD VP versus VV ECMO ๐Ÿซ VV ECMO to de-sedate, extubate & mobilize in hypoxic resp failure ๐Ÿซ VV ECLS for severe asthma Register as virtual attendee ๐Ÿ”— https://t.co/iaYPl5mHbI
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@FOAMecmo
M Velia Antonini
3 days
Perioperative #resuscitation and life support PeRLS: ๐Ÿ’ฆ fluids management โ›”๏ธ preventing the progression of shock to cardiac arrest: LV, RV, vasoplegia and #sepsi ๐Ÿซ respiratory rate during CA: hypo vs hyperventilation ๐Ÿซ€ symptomatic bradycardia ๐Ÿ anaphylaxis ๐Ÿ’‰ local anesthetic
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@FOAMecmo
M Velia Antonini
4 days
Antithrombin supplementation in #ECMO: any differences in mortality or hemostatic outcomes? ๐Ÿ” systematic review with meta-analysis to evaluate safety & efficacy of AT; 11 studies (mostly observational) included ๐Ÿฉธ AT supplementation resulted in no difference in bleeding and
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@FOAMecmo
M Velia Antonini
5 days
The @ESICM & @EuroELSO #ECLS Fellowship! A multidisciplinary group of #ECMO experts will guide fellows through a comprehensive and highly hands-on learning experience, including: ๐Ÿ›๏ธ bedside rounds ๐Ÿฉบ case-bades discussion ๐Ÿ’ฆ water drills & ๐Ÿ–ฅ๏ธ high-fidelity #simulation ๐Ÿฉธ
Tweet card summary image
esicm.org
Advancing Expertise in ECLS/ECMO: A Progressive Learning Pathway in Collaboration with EuroELSO
@EuroELSO
EuroELSO
5 days
The @ESICM & @EuroELSO #ECLS Fellowship,5๏ธโƒฃ intensive days,8๏ธโƒฃfellows from different countries,1๏ธโƒฃ goal: to elevate #ECMO practice through structured, immersive and high-impact education & training at @vallhebron Hospital with @ECMOHUVH team! ๐Ÿ“… Nov 24-28 ๐Ÿ”— https://t.co/3IyMQTOMm7
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@FOAMecmo
M Velia Antonini
5 days
Honoring the Life and Legacy of Dr. Robert H. Bartlett - Few had or will ever have the impact that Dr. Bartlett has had. He ๐Ÿ”“ did NOT patent his ideas ๐Ÿ’ก inspired everyone to find a huge clinical problem and spend your career trying to understand it ๐Ÿ”ญ had the ability to see
@ELSOOrg
ELSO
5 days
Honoring the Life and Legacy of Dr. Robert H. Bartlett - Grand Rounds today at the Department of Cardiac Surgery of @umichmedicine, with James Mault, Jennifer C. Romano, Kristopher Barrett Deatrick, Alvaro Rojas-Peรฑa and James R. Maul celebrating their and our mentor.
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@FOAMecmo
M Velia Antonini
6 days
How to use noninvasive neuromonitoring in #ICU? Exploring practical matters/challenges of combining multiple noninvasive neuromonitoring modalities ๐Ÿ–ฅ๏ธ blind-TCD (traditional nonimaging TCD) ๐Ÿ–ฅ๏ธ OSND measurement โšก๏ธ multichannel continuous EEG ๐Ÿ‘๏ธ automated pupillometry ๐Ÿšจ NIRS ๐Ÿ’€
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@FOAMecmo
M Velia Antonini
6 days
Neuro-complications during VA #ECMO & their implications for patient-centered outcomes: ๐Ÿซ€ >700 adultson VA #ECLS (no #ECPR) in 30 ๐Ÿ‡ฆ๐Ÿ‡บ๐Ÿ‡ณ๐Ÿ‡ฟ ICUs (primary outcome available for 86.2%) ๐Ÿ” 69.3% died or had new disability at 6 months ๐Ÿง  neurologic complications 12% patients: these
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@ELSOOrg
ELSO
7 days
Save the date! Celebration of life/career of RH Bartlett at Hill Auditorium, by @umichmedicine & @ELSOOrg. ๐ŸŽถ Jan 25: performance by Life Sciences Orchestra ๐Ÿ‘ Jan 26: celebration/tributes ๐Ÿฅ Jan 26 evening: Performance by @UMich Marching Band + Menโ€™s Glee Club Details to come!
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@EuroELSO
EuroELSO
7 days
๐Ÿ“ข Here's upcoming #EuroELSOwebinar: #ECLS in accidental hypothermia ๐ŸงŠ pathophysiology of hypothermic cardiac arrest ๐Ÿซ€ eligibility criteria for #ECPR in hypothermic CA โš–๏ธ HOPE Score ๐ŸŽ™discussion ๐Ÿ—“๏ธ Nov 24 2025, 16:00-17:10 CET Save date & register! ๐Ÿ–‹ https://t.co/0yuN2zwuDM
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@EuroELSO
EuroELSO
8 days
โœˆ๏ธ We just left beautiful Dublin ๐Ÿ‡ฎ๐Ÿ‡ช where we had an an on-site visit at the @TheRDS to start planning #EuroELSO2026, our 14th annual congress. Stay tuned for updates: an amazing scientific & educational program under construction ๐Ÿ—๏ธ ๐Ÿ—“๏ธ May 6-9 2026 ๐Ÿ”— https://t.co/BFxcFvuON5
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@ELSOOrg
ELSO
9 days
๐Ÿ“– Respiratory physiology and gas exchange: Blue Book - Chapter 2 ๐Ÿซ native gas exchange ๐Ÿ’จ oxygenation ๐Ÿฉธ O2 content & Hb ๐Ÿฉธ DO2 and VO2 ๐Ÿ’จ CO2 โš™๏ธ physiology of #ECLS ๐Ÿฉธ DO2 and CO2 removal in ECLS ๐Ÿ“˜ In the ELSO #ECMO Specialist Training Manual 5th ed ๐Ÿ›’ https://t.co/u1vLUUE9nW
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@FOAMecmo
M Velia Antonini
9 days
Ultra-low-field portable MRI during #ECMO support in #PedsICU?? Timely & accurate ABI diagnosis of ABI first step to providing appropriate neurocritical care, better-informed decision-making/treatment and improving neurologic outcomes! ๐Ÿง  experience including 20
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@FOAMecmo
M Velia Antonini
13 days
High-caliber femoral dual-lumen cannula to achieve higher blood-flow and more efficient COโ‚‚ clearance in hypercapnic respiratory failure?? ๐Ÿ” 16 patients (81% COPD) treated with for #extracorporeal carbon dioxide removal using 20-23 Fr DLC (designed for jugular VV #ECMO)
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@FOAMecmo
M Velia Antonini
13 days
Critical care management of pharmaceutical poisoning ๐Ÿฉบ general principles โฑ๏ธ initial assessment: resuscitation & supportive care as cornerstone, airway, breathing, circulation, disability, exposure/environment ๐Ÿ” diagnostic approach: history + collateral information, physical
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@FOAMecmo
M Velia Antonini
13 days
Mastering vasopressin in septic shock, pragmatic bedside guidance on its optimal use, emphasizing real-world constraints & evidence gaps: ๐Ÿ’‰ clinical pharmacology โš–๏ธ dosing โฑ๏ธ timing ๐Ÿฉบ practical considerations #FOAMcc ๐Ÿ”“ https://t.co/hCyUamYdQN
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@FOAMecmo
M Velia Antonini
13 days
#Trauma: contraindication for extracorporeal support in pts evolving to cardiac arrest?? NO! #ECPR can be used to restore circulation ๐Ÿ” ELSO Registry analysis 2020-2024 ๐Ÿ”Ž 1% adult trauma patients of >13K #ECPR included: ๐Ÿš‘ 17.9% received #ECMO because of traumatic CA (50%
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@FOAMecmo
M Velia Antonini
14 days
How not to panic on #ECMO?? Take a look at the โš ๏ธ Panic Button section of ELSO's Bedside Guide: ๐Ÿฉธ accidental decannulation ๐Ÿซง๐Ÿซง air in the circuit ๐Ÿฉธblood out of the circuit ๐Ÿซ€cardiac arrest โ›”๏ธ NO flow ๐Ÿšจ coming off #ECLS emergently You can use the app to learn/train your team
@ELSOOrg
ELSO
14 days
Take a look at the โš ๏ธ Panic Button section of ELSO's #ECMO Bedside Guide ๐Ÿฉธ accidental decannulation ๐Ÿซง๐Ÿซง air in the circuit ๐Ÿฉธblood out of the circuit ๐Ÿซ€cardiac arrest โ›”๏ธ NO flow ๐Ÿšจ coming off #ECLS emergently Apple ๐Ÿ“ฑ https://t.co/H0OmY3HilV Android ๐Ÿ“ฑ https://t.co/4uePBL7iHW
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@FOAMecmo
M Velia Antonini
15 days
Veno venous multisite #ECMO in neonates & smaller children?? Increasingly used to avoid neurologic risk of VA ECMO and technical difficulties of DLCs! ๐Ÿ” series including 58 neonates/children <15 kg with severe resp failure who survived #ECLS, 2017-2024 ๐Ÿ”ช surgical VV cannulation
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