Starting and Sustaining an Extracorporeal Membrane Oxygenation Program.
Archana V DharTracy MorrisonRyan P BarbaroHergen BuscherSteven A ConradRodrigo DiazJoseph DengW Cory EllisJames FortenberryMicheal HeardRobert HyslopDinis Reis MirandaMark OginoWai Ching Simon SinBishoy ZakharyGraeme MacLarenPublished in: ASAIO journal (American Society for Artificial Internal Organs : 1992) (2022)
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.
Keyphrases
- extracorporeal membrane oxygenation
- quality improvement
- respiratory failure
- acute respiratory distress syndrome
- heart failure
- palliative care
- primary care
- healthcare
- type diabetes
- risk factors
- atrial fibrillation
- case report
- virtual reality
- adipose tissue
- drug induced
- skeletal muscle
- hepatitis b virus
- smoking cessation
- cell fate