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A	
  Piece	
  History
ECMO
ECMO	
  
The	
  Final	
  Fron7er	
  of	
  Life	
  Support
ECMO	
  
The	
  Final	
  Fron7er	
  of	
  Life	
  Support

Or
ECMO	
  
The	
  Final	
  Fron7er	
  of	
  Life	
  Support

Or
Blowing	
  Smoke	
  Up	
  Your	
  Arse
From	
  Humble	
  Beginnings

To	
  ECMO	
  Anywhere
Started	
  1972	
  Reported	
  MJA	
  1974
NEJMed	
  1972
Big	
  Warren	
  Zapol

NIH	
  VA	
  ECMO	
  ARDS	
  Trial	
  Late	
  70’s	
  	
  
Zapol,	
  Snider,	
  Hill,	
  BartleU,	
  Morris	
  et	
  al
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
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
Lismore
597km

247km
3,151km
Cairns
1,970km
Townsville
1,690km

Lismore
597km

247km
3,151km
Cairns
1,970km
Townsville
1,690km

Lismore
597km

247km

Noumea
1,970km
Smoke	
  in	
  Cockpit	
  and	
  Cabin
Smoke	
  in	
  Cockpit	
  and	
  Cabin
Flying	
  into	
  a	
  Cyclone
96	
  Days	
  on	
  ECMO

VV	
  84	
  Days	
  à	
  VA	
  2	
  Days	
  à

VV	
  10	
  Days
 VA	
  ECMO
Go	
  Hard	
  and	
  Go	
  Fast	
  !!
Shin	
  et	
  al

Samsung	
  Medical	
  Centre,	
  Korea
Shin	
  et	
  al

1,951	
  beds
Shin	
  et	
  al	
  

Crit	
  Care	
  Med	
  2011
Shin	
  et	
  al	
  

• Age:	
  18	
  –	
  80
• 	
  24/7	
  Service
• 85	
  Cases	
  over	
  6	
  years
X

X
Shelf	
  Life:	
  
Best	
  Before	
  Midnight	
  13.6.2013
Shelf	
  Life:	
  
Best	
  Before	
  Midnight	
  13.6.2013
Pye on ECMO. SMACC 2013.

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Pye on ECMO. SMACC 2013.