Top Tweets for #ASAIOjc
Dr. Jesus Casida is at #ASAIO2019 sharing his work on #LVAD devices. Read about Dr. Casida's app #artificialorgans #ECMO #ASAIO #ASAIOjc https://t.co/MHn0FowvCj

@ansakhuja @asaiojournal @ELSOOrg @EuroELSO @tedberei @criticalbeansmd @pkguru10 @HerxxAU Bivalirudin is prohibitively expensive. #ASAIOjc
@asaiojournal @jswol @G_Man119 @kshekar01 @concernecus @HerxxAU @EcmoNinja @macwalterMD @ansakhuja @criticalhend @criticalbeansmd @pkguru10 @precordialthump @NMPulmCritCare @ColombianpharmD @KrisRob72 @ZimickMD @AidanBurrell @kt_heartfailure @BarthRx33 @gracebichara #ASAIOjc thank you as well for initiating this format, and especially @jswol for moderation. Sorry couldn't contribute that substantially- periop cardiosurg ICU, so specific issues w anticoag, Bival rarely used. Looking fwd to next time
@jswol @G_Man119 @kshekar01 @concernecus @HerxxAU @EcmoNinja @macwalterMD @ansakhuja @criticalhend @criticalbeansmd @pkguru10 @precordialthump @NMPulmCritCare Also thanks to @ColombianpharmD @KrisRob72 @ZimickMD @AidanBurrell @kt_heartfailure @BarthRx33 @gracebichara @domagojsono for taking part in the #ASAIOjc discussion!
@jswol @G_Man119 @kshekar01 @concernecus @HerxxAU @EcmoNinja @macwalterMD @ansakhuja @criticalhend @criticalbeansmd @pkguru10 @precordialthump @NMPulmCritCare Also thanks to @ColombianpharmD @KrisRob72 @ZimickMD @AidanBurrell @kt_heartfailure @BarthRx33 @gracebichara @domagojsono for taking part in the #ASAIOjc discussion!
@PeterEckmanMD @tedberei @mplillyblad33 @KasiaHrynia @rgarberich @MHIF_Heart Yes, congrats to authors and thanks again for participating in the #ASAIOjc journal club discussing this paper! Clearly an interesting and provocative study!
Tap on hashtag #ASAIOjc to follow the previous discussion. @asaiojournal will announce the next #ASAIOjc All your comments and suggestions are welcome! Thanks again for participating and sharing @mtECMO @DrGilesPeek Stay tuned for more details and a link to the next #ASAIO paper.
#ASAIOjc also THANK YOU to @G_Man119 @kshekar01 @concernecus @HerxxAU @EcmoNinja @macwalterMD @ansakhuja @criticalhend @criticalbeansmd @pkguru10 @precordialthump @NMPulmCritCare for taking the time over the last two days for a great discussion, moderated by @jswol @asaiojournal
#ASAIOjc It is always good to generate conversations and additional exchange of ideas that hopefully lead to future studies and the development of best practices. @asaiojournal @HerxxAU
#ASAIOjc Thanks for the comments on the article https://t.co/xN56341PNq. Evaluation of Systemic Heparin Versus Bivalirudin in Adult Patients Supported by Extracorporeal Membrane Oxygenation. @tedberei @mplillyblad33 @KasiaHrynia @asaiojournal
@ColombianpharmD @jswol @asaiojournal @KasiaHrynia @mplillyblad33 Great question. Have not come across that situation yet here. Would say yes though if encountered as purge is necessarya. Happy to share how we compound, etc if need be. #asaiojc
@EcmoNinja @ansakhuja @asaiojournal @ELSOOrg @EuroELSO @tedberei @pkguru10 @HerxxAU I thought most Cannula Assoc DVT were associated with cannula limiting/slowing distal venous return from the leg around the cannula when a large cannula used in a smallish vein. We have seen DVTs but rarely if ever was pt having ECMO flow issues. My 2 cents
@macwalterMD @EuroELSO @criticalhend @ansakhuja @EcmoNinja @asaiojournal @ELSOOrg @tedberei @criticalbeansmd @pkguru10 @HerxxAU @NMPulmCritCare #ASAIOjc time for RCT VV ECMO with vs without #anticoagulation ? @asaiojournal @tedberei @KasiaHrynia @mplillyblad33 @HerxxAU @macwalterMD @ansakhuja @criticalhend @EcmoNinja @criticalbeansmd @pkguru10 @NMPulmCritCare @precordialthump
@ansakhuja @EcmoNinja @asaiojournal @ELSOOrg @EuroELSO @tedberei @criticalbeansmd @HerxxAU Two X Two Cents
-ACT ~200 during cannulation,& low flow states(weaning)
-aPTT goal 50-70,daily TEG,antiXa on heparin
-Prefer & moved towards Bival
# No-anticoagulation if active bleeding,target flow >3
# Experienced Circuit & Pump fibrin/clot with both low aPTT & no anticoag
@ansakhuja @EcmoNinja @asaiojournal @ELSOOrg @EuroELSO @tedberei @criticalbeansmd @HerxxAU Two X Two Cents
-ACT ~200 during cannulation,& low flow states(weaning)
-aPTT goal 50-70,daily TEG,antiXa on heparin
-Prefer & moved towards Bival
# No-anticoagulation if active bleeding,target flow >3
# Experienced Circuit & Pump fibrin/clot with both low aPTT & no anticoag
@ansakhuja @asaiojournal @ELSOOrg @EuroELSO @tedberei @criticalbeansmd @pkguru10 @HerxxAU VV prolonged runs we have gone 2-3 months without systemic heparin. Our average time on supprt is 16 days. Have not had any significant circuit clotting events.
@ansakhuja @ELSOOrg @EuroELSO @tedberei @pkguru10 @HerxxAU We checked ACTs more frequently but now I think heparin level is q6h until at target then q12-24h
We donโt have a standard at3 protocol that I am aware of
@HerxxAU @ansakhuja @jswol @KasiaHrynia @mplillyblad33 @asaiojournal Completely agree. So much variability from institution to institution however. aPTT vs anti-xa vs ROTEM/TEG at some facilities. Different algorithms based on intensity of anticoag, etc. We need to come together to find the best approach. #asaiojc
@jswol @asaiojournal @KasiaHrynia @mplillyblad33 Just waking up across the pond! Happy to answer any questions about our paper today. Would also love to hear from others on what their centers are doing and how we can collaborate to enhance the safety and efficacy of anticoag in ECLS. #asaiojc
Welcome to the 2nd day of the #ASAIOjc @asaiojournal #twitter #JournalClub @tedberei @KasiaHrynia @mplillyblad33 any other thoughts we didnโt cover? would love to have everyone who is interested in #anticoagulation on #ECMO to join in the discussion. Donโt forget & add #ASAIOjc

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