Covid 19: ITALY Will Prevail !

Editor’s Note: All I can say is that I have known Giuseppe Salerno since I started this blog.  I love this man- because he is so very straight up and just a very decent human being. He cares- and that stands out in all things G (my short name for Giuseppe). We have never met- […]

Corona Virus: Surviving COMES With a Price?

Editor’s Note: I have to say that when I first started hearing about and thinking about the coronavirus, I pretty much categorized that into what I was most familiar with – which was the swine flu (H1N1). That particular epidemic I have pretty significant familiarity with, probably 250 to 300 hours of ECMO on swine […]

CoronaVirus: Our Heroic Chinese Colleagues, Brothers, & Sisters

Editor’s Note: The following pictures are very poignant and hard hitting.  They are of us- people- the Chinese people- our brothers and sisters.  What I see when I look at these images is not panic or fear, it is a resolute and concise determination to confront our fear and defeat not an unknown enemy– rather […]

WHO Guidelines for Clinical Rx : CoronoVirus

Editor’s Note: Basic guidelines from WHO– Compliments of ELSO and my good friend Giuseppe Salerno– who is the founder of an Italian Perfusion FB Group-  Thanks G! An amazing father- man- and photographer!  G! Click Image Above to Download WHO PDF

ECLS & Emergency Departments

Editor’s Note: A colleague of mine, Michael, asked me during a conversation if there was any information out there regarding the increased frequency or use of ECLS systems throughout the emergency departments in hospitals across the US.  Interestingly enough, I find myself later in the day, monitoring one of these devices in vivo. Below is […]

Unexpected Air: An ECMO Discussion

Editor’s Note: I was on FB and was visiting the Malaysian Perfusion Page, monitoring a discussion regarding venous air entrainment in an ECMO circuit, and the efforts made to save the patient.  This a true emergency, and with a closed system, much more difficult to resolve. The discussion however is what captured my interest because […]

CARDIOHELP: An In-Service for MD’s, Perfusionists, & Nurses

Click Image to visit CARDIOHELP website Editor’s Note: We are looking at a new system to integrate into our ECMO program, and today we had an in-service from MAQUET, who owns, distributes, and supports the CARDIOHELP ECLS system. This was a 3.5 hour in-service designed to educate physicians, perfusionists, and nurses.  It was offered for three […]

PICU Nursing: Honing Your ECMO Skills

Editor’s Note: So I was @ Women’s & Children’s Hospital – here in West Texas, doing some platelet gel cases, when I decided to drop by the PICU to visit friends I hadn’t seen in awhile. The PICU staff was pretty thin- so I asked where everybody was- and found out they were conducting an ECMO wet […]

Plz Take This Survey: The impact of Influenza on Your ECMO Program for 2013-2014

  The impact of Influenza on Your ECMO Program for 2013-2014 Can you please take this short eight question survey on the impact of the recent influenza season on your ECMO program. We will share the results. Click link below to take this survey: = Thank you. David Palanzo, CCP, LP Penn State Hershey […]

Roundworms & ECMO ? Any Advice, Experience, or Literature?

Editor’s Note: I got an email from a perfusion colleague regarding the impact (if any) of roundworms on the oxygenator for an ECMO run. Please help?  Any information- please forward to the comments section of this blog post, my email, or  Amanda’s email who is running the ECMO. Very much appreciated 🙂 Hey Frank, Do […]

The Avalon Bi-Caval Dual Lumen Catheter

Have you used a percutaneous venous cannula like this? The AVALONELITE :  Bi-Caval Dual Lumen Catheter (Click image to visit website) A Discussion on Cannula Positioning Proper cannula positioning in single site veno-venous extracorporeal life support (vv-ELS) is cumbersome and necessitates image guidance to obtain a safe and stable position within the heart and the […]

And Then Comes Sunday …

24 Hours… of ECMO New Beginnings   (To view the entire “Day In The Life” series Click Here) Jesse Shipman struggles to do a stretch during a therapy session with occupational therapist Megan Taylor at TrustPoint Hospital in Lubbock, Texas Tuesday, June 12, 2011. (Miranda Grubbs/ Lubbock Avalanche-Journal) To view the entire “Day In The […]


Click images to enlarge Editors Note: I got an email from my overseas friend, Dario Fichera, an Italian perfusionist that is very involved in the international perfusion community. (Dario has been involved in perfusion mission work to Africa .) Below are some pictures of a mobile ECMO (Street ECMO) emergency aid station that the Italians […]

VAD / ECMO Policy: Generic & Universal

Editor’s Note: This is a disclaimer: As with all material presented on this site,  please use your own judgement as to what you feel is clinically safe, vetted, and makes sense to you.  This blog is NOT peer reviewed or sanctioned by any perfusion associated review board or academic body. That is not to say […]

What Doesn’t Kill You- Makes You Stronger

Click to View…  It’s DEFINITELY Inspiring. Editor’s Note: This video is an amazing example of the lifeblood of medicine- Inspired Dedication! This was a link that one of our PICU nurses left on her Facebook page. It totally reminded me of our PICU and the great ECMO nurses we have working there! Ash …  Man […]