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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.
4.
5.
6.
ECMO
7.
ECMO The Final
Fron7er of Life Support
8.
ECMO The Final
Fron7er of Life Support Or
9.
ECMO The Final
Fron7er of Life Support Or Blowing Smoke Up Your Arse
10.
11.
From Humble Beginnings To
ECMO Anywhere
12.
Started 1972 Reported
MJA 1974
13.
NEJMed 1972
14.
15.
16.
17.
Big Warren Zapol NIH
VA ECMO ARDS Trial Late 70’s Zapol, Snider, Hill, BartleU, Morris et al
18.
19.
20.
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22.
23.
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25.
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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
27.
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
38.
3,151km Cairns 1,970km Townsville 1,690km Lismore 597km 247km
39.
3,151km Cairns 1,970km Townsville 1,690km Lismore 597km 247km Noumea 1,970km
40.
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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
97.
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99.
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102.
103.
104.
VA ECMO
105.
Go Hard and
Go Fast !!
106.
107.
108.
109.
Shin et al Samsung
Medical Centre, Korea
110.
111.
112.
113.
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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X X
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Shelf Life: Best
Before Midnight 13.6.2013
139.
Shelf Life: Best
Before Midnight 13.6.2013
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