Rapid Development and Implementation of an ECMO Program

Vanessa Moll; Elrond Y.L Teo; David S Grenda; Cindy D Powell; Michael J Connor; Bryce T Gartland; Mary J Zellinger; H. Bruce Bray; Christopher A Paciullo; Craig M Kalin; Jean M Wheeler; Duc Q Nguyen; James M Blum

doi:10.1097/MAT.0000000000000331

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Rapid Development and Implementation of an ECMO Program

Journal article

Open access

Peer reviewed

Rapid Development and Implementation of an ECMO Program

Vanessa Moll, Elrond Y.L Teo, David S Grenda, Cindy D Powell, Michael J Connor, Bryce T Gartland, Mary J Zellinger, H. Bruce Bray, Christopher A Paciullo, Craig M Kalin, …

ASAIO journal (1992), Vol.62(3), pp.354-358

05/2016

DOI: 10.1097/MAT.0000000000000331

PMCID: PMC4867977

PMID: 26735556

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Abstract

Extracorporeal membrane oxygenation (ECMO) is an established therapy in the management of patients with refractory cardiogenic shock or acute respiratory failure. In this report, we describe the rapid development and implementation of an organized ECMO program at a facility that previously provided ad hoc support. The program provides care for patients within the Emory Healthcare system and throughout the Southeastern United States. From September 2014 to February 2015, 16 patients were treated with either venovenous or venoarterial ECMO with a survival to decannulation of 53.3% and survival to intensive care unit discharge of 40%. Of the 16 patients, 10 were transfers from outside facilities of which 2 were remotely cannulated and initiated on ECMO support by our ECMO transport team. Complications included intracerebral hemorrhage, bleeding from other sites, and limb ischemia. The results suggest that a rapidly developed ECMO program can provide safe transport services and provide outcomes similar to those in the existing literature. Key components appear to be an institutional commitment, a physician champion, multidisciplinary leadership, and organized training. Further study is required to determine whether outcomes will continue to improve.

How to Do It

extracorporeal membrane oxygenation

adult

outcome

implementation

Details

Title: Subtitle: Rapid Development and Implementation of an ECMO Program
Creators: Vanessa Moll - From the
Elrond Y.L Teo - From the
David S Grenda - From the
Cindy D Powell - From the
Michael J Connor - From the
Bryce T Gartland - From the
Mary J Zellinger - From the
H. Bruce Bray - From the
Christopher A Paciullo - From the
Craig M Kalin - From the
Jean M Wheeler - From the
Duc Q Nguyen - From the
James M Blum - From the
Resource Type: Journal article
Publication Details: ASAIO journal (1992), Vol.62(3), pp.354-358
DOI: 10.1097/MAT.0000000000000331
PMID: 26735556
PMCID: PMC4867977
NLM abbreviation: ASAIO J
ISSN: 1058-2916
eISSN: 1538-943X
Publisher: Lippincott Williams & Wilkins
Language: English
Date published: 05/2016
Academic Unit: Anesthesia
Record Identifier: 9984013276502771

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