ECMO

Infograph: VV vs. VA ECMO

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VV vs VA ECMOInfograph: VV vs. VA ECMO

ECMO (Extracorporeal Membrane Oxygenation) comes in two main configurations, each serving distinct clinical purposes.

Core Function

VV ECMO provides isolated pulmonary support, handling only gas exchange (oxygenation and CO₂ removal) without any circulatory assistance. VA ECMO provides dual heart and lung support, acting as an extracorporeal right-to-left shunt that unloads a failing heart while maintaining organ perfusion.

Native Cardiac Requirement

This is a critical distinction — VV ECMO requires a functioning heart to pump oxygengenated blood through the body, whereas VA ECMO can drive circulation independently of heart function, making it suitable for patients in cardiac failure.

Cannulation Pathway

VV ECMO uses a venous-to-venous path, returning blood to the venous system. It can use two sites or a single specialized double-lumen cannula (often in the neck), making it surgically simpler. VA ECMO uses a venous-to-arterial path, returning blood to a large artery (femoral or aorta), bypassing both heart and lungs.

Clinical Indications

VV ECMO is used for severe ARDS, pneumonia, and trauma when mechanical ventilation has failed. VA ECMO is indicated for cardiac arrest (E-CPR), refractory cardiogenic shock, and as a bridge to heart transplantation.

Unique Risks

VV ECMO carries the risk of recirculation, where oxygenated blood is pulled back into the circuit before completing systemic circulation, typically from cannula malposition. VA ECMO carries a significant risk of limb ischemia (10–70%) due to arterial cannulation, plus a “watershed phenomenon” that can impair brain oxygenation.

Scribe to organize ECMO Experts Made Easy Course

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ECMO-January-26-Egypt-Critical-CareScribe to organize ECMO Experts Made Easy Course

The Egyptian ECMO Working Group (A Division of ECCCP ) is orrganizing a 3 days course from 29 till 31 January, 2026 at the Critical Care Departement, Cairo University.  

What the course will offer:

ECMO Skills:

  • VV and VA ECMO modes, physiology, and circuit management
  • Cannulation techniques and troubleshooting
  • ARDS and cardiac failure management
  • ECPR and emergency protocols

Advanced Clinical Practice:

  • Mechanical ventilation strategies on ECMO
  • Medication management and monitoring
  • ECMO weaning and transport
  • Complications and emergency response

Interactive Learning Experience

✓ Expert-Led Sessions – Learn from Prof. Akram Abdel Bary and experienced faculty
✓ Hands-On Training – Extensive simulation stations and practical scenarios
✓ Real-World Cases – Multiple case simulations and troubleshooting exercises
✓ Comprehensive Assessment – Pre and post-testing with certification

Course Highlights

  • Circuit priming and de-airing practice
  • Oxygenator failure management
  • Accidental decannulation scenarios
  • Console operation training
  • Multidisciplinary care coordination

Perfect for: Critical care physicians, intensivists, perfusionists, and ECMO team members seeking to build or enhance their ECMO expertise.

ECMO EXPERTS Comprehensive Made Easy Course

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ECMO EXPERTS Comprehensive Made Easy Course

ECMO-Course-in-Egypt-Scribe-Medical-eventsScribe organized ECMO Experts Comprehensive Made Easy at the Critical Care Department, Cairo University from 9 till 11 November, 2023 

The three days featured lectures and skill stations delivered by the ECMO Unit of the Critical Care Department Cairo University and was directed by Professor Akram Abdel Bary, Past President of SWAAC ELSO.

The course was endorsed by the Egyptian ECMO Working Group ( A division of the Egyptian College of Critical care Physicians – ECCCP )

 

Highlights from the Egyptian Italian Symposium on Critical Care Medicine

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Highlights from the Egyptian Italian Symposium on Critical Care Medicine

Themed : Lessons learned from the COVID-19 pandemic, the Egyptian Italian Symposium on Critical care Medicine was held on 16 December, 2021 at the Grand Nile Tower Hotel at Cairo, Egypt.

The symposium was organized by the Egyptian College of Critical Care Physicians ( ECCCP) and was presided by Professor Sherif Mokhtar.

The symposium hosted the following Italian guest faculty:

Prof. Massimo Loda, Chair of the Department of Pathology and Laboratory Medicine at Weill Cornell Medicine and Pathologist-in-chief at Presbyterian-Weill Cornell Medical Center, New York, USA

The role of clinical pathologist in the COVID- 19 pandemic

Prof. Paolo Pelosi, Chief Professor in Anaesthesia and Intensive Care, Head of Anaesthesia and Intensive Care Unit at IRCCS San Martino-IST , Department of Surgical Sciences and Integrated Diagnostics, University of Genoa, Genoa, Italy

Prof. Luca Bigatello, Professor of Anesthesiology and Perioperative Medicine, TSUM Tufts Medical Center and St. Elizabeth’s Medical Center-Brighton, Massachusetts, USA.

Lectures delivered are: 

  • The role of Clinical Pathologists in the COVID- 19 Pandemic, Dr Massimo  Loda
  • COVID-19 Pneumonia is not a traditional ARDS, Dr Paolo Pelosi
  • Non-invasive Mechanical Ventilation and High- flow Nasal O2 in COVID- 19 Pneumonia, Dr Luca Bigatello

Critical-Care-Symposium-Aida-Egyp

Related lectures from Pulmonary Critical Care Medicine Working Group events:

  • Non Invasive Respiratory Support for Patients with COVID-19, Dr Dean Hess
  • High Respiratory Drive in Acute Hypoxemic Respiratory Failure, Dr Lluis Blanch
  • Quantative Imaging to measure Lung Injury Severity in ARDS and COVID-19, Dr Maurizio Cereda 
  • Mechanical Ventilation before and during COVID- 19 epidemy, Dr Esteban
  • PoCUS in COVID from the Emergency Department to the ICU, Dr Cian McDermott and Dr Catherine Nix 
  • ECMO for COVID ARDS, Dr Jacob Gutsche
  • Safe and effective delivery of aerosolized medications in the era of COVID-19, Dr Arzu Ari 

Critical-Care-Summit-Conference-Egypt-2022

Cardiac Assist Devices Symposium Scientific Program is Available Online

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Cardiac Assist Devices Symposium Scientific Program is Available Online

Cardiac Assist Devices ECMO Egypt.

Scientific Program of Cardiac Assist Devices Symposium organized by the Egyptian ECMO Working Group (EEWG) is scheduled on 20 November, 2017 and will take place at the Learning Resource Center, Kasr Al Ainy School of Medicine, Cairo, Egypt.

The symposium will host Dr Federico Pappalardo, Milan , Italy and Dr Gerry Capatos from South Africa.

Scientific Program is available at Egyptian ECMO Working Group Website : www.ecmoegypt.org.

 

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Scribe to organize Cardiac Assist Devices Symposium

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Scribe to organize Cardiac Assist Devices Symposium

Cardiac Assist Devices ECMO Egypt.

Scribe has been elected as the PCO for Cardiac Assist Devices : An Update symposium to be held at the Learning Resource Center , Kasr Al Ainy School of Medicine, Cairo, Egypt.

This is the first event organized by the Egyptian ECMO Working Group(EEWG) .

The Symposium hosts Dr Federico Papalardo from Milan Italy and will provide after the symposium lectures a hands on training through simulation.

Details about the event is available at EEWG website: www.ecmoegypt.org

ECMO Day at the Egyptian African Critical Care Summit

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ECMO Day at the Egyptian African Critical Care Summit

Ecmo medical conference in EgyptThe Egyptian African Critical Care Summit hosted on the 9th of January 2017 , the Egyptian ECMO day.

Attended by 140 delegates, the day presided by Professor Alia Abdel Fattah provided an ECMO Min-Course followed by lectures delivered by a panel of faculty from  UAE, South Africa ,Qatar and a national faculty from the ECMO Center of Cairo University.

Here are some photographs taken at the Egyptian ECMO day.

Dr Akram Abdel Bary ECMO conference in EgyptEcmo medical conference critical care egypt
Dr Ibrahim Fawzy Egypt ECMO medical conferenceDr Capatos ECMO medical conference in Egypt
Dr Malaika Mendonca ECMO Critical care EgyptECMO day Egypt Critical care Scribe conferences

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ECMO at Pulmonary Medicine Update Conference

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ECMO at Pulmonary Medicine Update Conference

Pulmonary-Medicine-Egypt-2016-Pulmonary Medicine Update conference, the leading Pulmonary Critical Care medicine event in Egypt is proud to host Jose Calado, clinical specialist of Maquet. Mr Calado is a respiratory therapist with an immense expertise on ECMO applications.  He will lecture about ECMO and how it will impact Critical care medicine practice.

The conference will offer as well a workshop introducing participants to the Essentials of ECMO . The ECMO workshop is scheduled on the 9th of February, 2016 at the Critical Care Center of Cairo University.

Details about Pulmonary Medicine Update Conference is available at the conference website: www.pccmegypt.com

[ECMO at the Egyptian African Critical Care Summit]

ECMO Experts Website 

 

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ECMO Course at Pulmonary Medicine Update Conference 2016

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ECMO: The Essentials, 9 February 2016

Plan to participate in the ECMO course planned as pre-conference event of Pulmonary Medicine Update Conference 2016.

The ECMO course will be conducted by the ECMO team of Cairo University Critical Care Center.

Participants of the course will be able to:
• Review the indications and timing of ECLS initiation in cardiogenic shock.
• Understand the role of ECCO2 removal in type 2 respiratory failure.
• Learn physiology and role of ECMO in respiratory failure.
• Recognize the future of ECMO in modern critical care medicine.

Details about the conference is available at the website: www.pccmegypt.com

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Plan to visit Pulmonary Medicine Update Medical Exhibition featuring the latest innovations offered in the industry in Pulmonary and Critical care Medicine.