Starting and Sustaining an Extracorporeal Membrane Oxygenation Program

被引：2

作者：

Dhar, Archana V. V. ^{[1
]}

Morrison, Tracy ^{[2
]}

Barbaro, Ryan P. P. ^{[3
]}

Buscher, Hergen ^{[4
]}

Conrad, Steven A. A. ^{[5
]}

Diaz, Rodrigo ^{[6
]}

Deng, Joseph ^{[7
]}

Ellis, W. Cory ^{[8
]}

Fortenberry, James ^{[9
]}

Heard, Micheal ^{[10
]}

Hyslop, Robert ^{[11
]}

Miranda, Dinis Reis ^{[12
]}

Ogino, Mark ^{[13
,14
]}

Sin, Wai Ching Simon ^{[15
]}

Zakhary, Bishoy ^{[16
]}

MacLaren, Graeme ^{[17
]}

机构：

[1] Univ Texas Southwestern Med Ctr, Dept Pediat, Div Crit Care Med, Dallas, TX USA

[2] Miami Valley Hosp, Dayton, OH USA

[3] Univ Michigan, Ann Arbor, MI USA

[4] St Vincents Hosp, Dept Intens Care Med, Sydney, NSW, Australia

[5] LSU, Dept Med Emergency Med & Pediat, Hlth Sci Ctr, Shreveport, LA USA

[6] Clin Las Condes, Santiago, Chile

[7] Legacy Hlth Syst, Legacy Emanuel Med Ctr, Portland, OR USA

[8] Childrens Hosp Colorado, Aurora, CO USA

[9] Emory Univ, Sch Med, Dept Pediat, Atlanta, GA USA

[10] Childrens Healthcare Atlanta, Atlanta, GA USA

[11] Childrens Hosp Colorado, Heart Inst, Aurora, CO USA

[12] Erasmus Univ, Adult Intens Care Dept, Med Ctr Rotterdam, Rotterdam, Netherlands

[13] Nemours Alfred I duPont Hosp Children, Dept Pediat, Div Neonatol, Wilmington, DE USA

[14] Thomas Jefferson Univ, Sidney Kimmel Med Coll, Philadelphia, PA USA

[15] Univ Hong Kong, LKS Fac Med, Hong Kong, Peoples R China

[16] Oregon Hlth & Sci Univ, Div Pulm & Crit Care Med, Portland, OR USA

[17] Natl Univ Singapore Hosp, Cardiothorac ICU, Singapore, Singapore

来源：

ASAIO JOURNAL | 2023年 / 69卷 / 01期

关键词：

extracorporeal membrane oxygenation; new program setup; LIFE-SUPPORT; POSITION PAPER; ORGANIZATION; ECMO; VOLUME; SIMULATION; MANAGEMENT; FAILURE; HEALTH; ADULT;

D O I：

10.1097/MAT.0000000000001783

中图分类号：

R318 [生物医学工程];

学科分类号：

0831 ;

摘要：

The use of extracorporeal membrane oxygenation (ECMO) is growing rapidly in all patient populations, especially adults for both acute lung or heart failure. ECMO is a complex, high risk, resource-intense, expensive modality that requires appropriate planning, training, and management for successful outcomes. This article provides an optimal approach and the basic framework for initiating a new ECMO program, which can be tailored to meet local needs. Setting up a new ECMO program and sustaining it requires institutional commitment, physician champions, multidisciplinary team involvement, ongoing training, and education of the ECMO team personnel and a robust quality assurance program to minimize complications and improve outcomes.

引用

页码：11 / 22

页数：12

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