Carlos Albacete

Médico Intensivista. Jefe Sección UCI Hospital Clínico Universitario Virgen de la Arrixaca. Cuidados Críticos Cardiológicos. ECMO Team. ELSO/EUROELSO. SEMICYUC.

[Carlos Albacete @Calbacetem]

@AreaUnoArrixaca @josehdegea Enhorabuena Nayara!!

[ELSO @ELSOOrg]

📖 Extracorporeal cardiopulmonary resuscitation: let's open the Blue Book, latest edition of the @ELSOOrg #ECMO specialist training manual! Chapter 18 is focused on extracorporeal support in patients experiencing cardiac arrest #ECPR
🛒 https://t.co/u1vLUUDByo

[Critical Care @Crit_Care]

🩸New in #CriticalCare:
Effect of femoro-axillary V-A ECMO flow on pulmonary capillary wedge pressure
https://t.co/5KOWuEAt8I
#CritCare #ECMO #Capillary

[ELSO @ELSOOrg]

ELSO 2025 guideline on #ECMO training & continuing education
🎓 methodologies
📋 minimum standards for initial/ongoing training, simulation, case volume, developing instructors
📜 assessment /certification
🎓 becoming endorsed training center
🔓https://t.co/lzxD6i1uNA

[Carlos Albacete @Calbacetem]

@Alex_Inspira Por favor, me lo envías , muchas gracias

[Carlos Albacete @Calbacetem]

@Alex_Inspira IA

[Alexander Inspira IA @Alex_Inspira]

NADIE te explica cómo usar Gemini Pro 3.1 bien.

Reuní +300 Prompts para convertirlo en una máquina de automatización.

(LISTA ACTUALIZADA)

Like + RT + sígueme
Comenta “IA” y te los envío por DM.

[M Velia Antonini @FOAMecmo]

Antimicrobial stewardship in #ECMO? Challenging & evolving discipline, with limited data available!
🧫 infections & 🧪 infection biomarkers during #ECLS
💉 PK/PD & appropriate antimicrobial dosing
💉 ABT prophylaxis in ECMO: yes or no?
🔮 empirical antimicrobials and circuit/cannula change
🩺 ABT and diagnostic stewardship in ECMO
🚧 infection control strategies
The prominent PK alterations induced by circuits + prolonged ICU stays + high infection risk make optimal ABT therapy complex. Evidence for use of stewardship in #ICU patients remains applicable to those receiving ECMO.
🔗 https://t.co/wTWE8UN5LZ

[WithAScalpel - Fumiya Yoneyama, MD, PhD @WithAScalpel]

💡Interpreting LVAD physiology with echo plus intracardiac pressure monitoring (RAP and LAP) is essential.

👉Key to distinguishing volume status, RV failure, elevated PVR, and inflow/outflow problems

@NMerke, #echofirst

[M Velia Antonini @FOAMecmo]

Exploratory laparotomy in #ECMO:
🔍 > 1,3K #ECLS patients: 4% abdominal exploration to manage various complications as mesenteric ischemia, intra-abdominal hemorrhage, abdominal compartment syndrome, bowel perforation
🩺 indications included bowel pneumatosis, portal venous gas, free intraperitoneal air, mesenteric edema, or progressive abdominal distention + rapid Hb decrease, increasing vasopressor requirements, or rising ventilatory pressure
🔪 surgical procedures included resection of necrotic bowel, repair of bowel perforations, other
🪦 mortality 57%; higher disease severity scores, diagnosis of mesenteric ischemia, pre-ECMO lactate = significant factors influencing mortality
🩸 most ischemic injuries represented watershed hypoperfusion related to CS or ECMO physiology: thromboembolic occlusion uncommon
Early recognition, multidisciplinary care, aggressive management essential to improving outcomes
🔗 https://t.co/F4rEcnSY4I

[M Velia Antonini @FOAMecmo]

(Circuit) integration or separation approach in #ECMO patients requiring #CRRT? E-CRRT RCT
🔎 80 pts allocated to CRRT/ECMO circuits integration vs separation
⚖️ no significant difference in filter lifespan between integration/separation configurations
🪦 comparable mortality
🫧 no significant differences in serious adverse events, including air embolism
🚨 transmembrane pressure + CRRT machine alarm frequencies similar
#FOAMcc
🔓 https://t.co/SZ0y6Yx0Me

[CardioTeca @cardioteca]

🫀📊 Ya tienes calculadora SCORE2 integrada (ESC 2021–2025): selecciona automáticamente SCORE2 (40–69 sin DM), SCORE2-OP (≥70) o SCORE2-Diabetes (40–69 con DM2)

💥 Riesgo CV a 10 años + umbrales por edad + objetivos LDL. 👉 https://t.co/wMck8OVoQf

#PrevenciónCV #SCORE2 #Diabetes #ESC #AtenciónPrimaria #Cardiología

[M Velia Antonini @FOAMecmo]

VA #ECMO axillary artery cannulation & aortic hemodynamics
☢️ computational fluid dynamics models
🩸 3 flow behaviours: descending-directed, arch-split, retrograde aortic valve-directed patterns, depending on access site, support level, aortic geometry
🫀 RAA access more frequently resulted in retrograde flow, particularly in type III arch configurations
🫀 LAA cannulation promoted antegrade or arch-split flow, independent of arch morphology: this access may provide more favourable antegrade flow, particularly if CO impaired
@asaiojournal
🖇️ https://t.co/Vx23OvmDP6

[Revista Hypérbole @hyperbolemag]

El sistema sanitario se sostiene en el silencio https://t.co/XuhwVNou9U

[Revista Hypérbole @hyperbolemag]

España entra en la mayor crisis demográfica de su historia con un modelo sanitario diseñado para otra época.

https://t.co/XuhwVNou9U

[asaiojournal @asaiojournal]

Spanish Center’s Early Experience With Donation Following Circulatory Death in Heart Transplantation
ASAIO Journal 72(1):p 42-48, January 2026. | DOI: 10.1097/MAT.0000000000002458
https://t.co/3niNrgwY9y
#ASAIO
#ECMO

[M Velia Antonini @FOAMecmo]

Conversion from VV to VA or hybrid #ECMO in patients treated for refractory respiratory failure developing refractory hypoxemia or hemodynamic compromise:
🔍 analysis of ELSO Registry including 29K adults
🫀 2.4% converted: 56.8% to VA, 43.2% to hybrid
⚖️ increased complications & higher mortality
Initial configuration selection pivotal. Need for conversion occurs under dynamic conditions: timely and decisive changes in configuration should be part of general support algorithm.
@CritCareMed
🔗 https://t.co/GCTddlYfQ9

[asaiojournal @asaiojournal]

Impella 5.5 as Heart Transplant Bridge Facilitated Rehabilitation and Improves Post-Transplant Outcomes: Retrospective Cohort Study
ASAIO Journal 72(1):p 49-55, January 2026. | DOI: 10.1097/MAT.0000000000002460
https://t.co/htO6w5nRpl
#ASAIO

[Carlos Albacete @Calbacetem]

@EduardArgudo @semicyuc @jrdelbrio @ECMOHUVH @AaronBlandino85 @LMartinVillen @PlanNacionalRcp @CarolaVich @GarnachoJose Allí estaremos Eduard!!

[M Velia Antonini @FOAMecmo]

Nitric oxide delivery into #ECMO sweep flow?
⚖️ legal & regulatory considerations
🌱 environmental considerations
💨 NO delivery systems
🫁 iNO
💨 sNO: technical challenges and solutions
🔗 https://t.co/Sj1iPXHQ66

PS do you want to know more about the role for NO in the SGF to the membrane lung during #ECLS?? Join the 🐾 SNOOPI open 🔓 webinar
🧪 biology of nitric oxide
🩺 clinical experience & how to use sNO
🔍 latest (& future) research
Register at 🔗 https://t.co/oQXoMBXhda
📆 January 12, 2026
⏰ 8-10:00 am EST
#FOAMcc #FOAMecmo #PedsICU