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
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
收藏
页码:11 / 22
页数:12
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