International Survey on Extracorporeal Membrane Oxygenation Transport

Lars Mikael Broman, Daniel R Dirnberger, Maximilian V Malfertheiner, Toshiyuki Aokage, Pål Morberg, Torvind Næsheim, Federico Pappalardo, Matteo Di Nardo, Tom Preston, Aidan J C Burrell, Ivonne Daly, Chris Harvey, Phillip Mason, Alois Philipp, Robert H Bartlett, William Lynch, Mirko Belliato, Fabio Silvio Taccone

Research output: Contribution to journalArticle

Abstract

Extracorporeal membrane oxygenation (ECMO) is a lifesaving therapy for severe respiratory and circulatory failure. It is best performed in high-volume centers to optimize resource utilization and outcomes. Regionalization of ECMO might require the implementation of therapy before and during transfer to the high-volume center. The aim of this international survey was to describe the manner in which interhospital ECMO transport care is organized at experienced centers. Fifteen mobile ECMO centers from nine countries participated in this survey. Seven (47%) of them operated under the "Hub-and-Spoke" model. Transport team composition varies from three to nine members, with at least one ECMO specialist (i.e., nurse or perfusionist) participating in all centers, although intensivists and surgeons were present in 69% and 50% of the teams, respectively. All centers responded that the final decision to initiate ECMO is multidisciplinary and made bedside at the referring hospital. Most centers (75%) have a quality control system; all teams practice simulation and water drills. Considering the variability in ECMO transport teams among experienced centers, continuous education, training and quality control within each organization itself are necessary to avoid adverse events and maintain a low mortality rate. A specific international ECMO Transport platform to share data, benchmark outcomes, promote standardization, and provide quality control is required.

Original languageEnglish
JournalASAIO Journal
DOIs
Publication statusE-pub ahead of print - Apr 2 2019

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Extracorporeal Membrane Oxygenation
Oxygenation
Membranes
Quality Control
Quality control
Benchmarking
Mandrillus
Surveys and Questionnaires
Respiratory Insufficiency
Standardization
Shock
Education
Organizations
Control systems
Mortality
Water
Therapeutics
Chemical analysis

Cite this

Broman, L. M., Dirnberger, D. R., Malfertheiner, M. V., Aokage, T., Morberg, P., Næsheim, T., ... Taccone, F. S. (2019). International Survey on Extracorporeal Membrane Oxygenation Transport. ASAIO Journal. https://doi.org/10.1097/MAT.0000000000000997

International Survey on Extracorporeal Membrane Oxygenation Transport. / Broman, Lars Mikael; Dirnberger, Daniel R; Malfertheiner, Maximilian V; Aokage, Toshiyuki; Morberg, Pål; Næsheim, Torvind; Pappalardo, Federico; Di Nardo, Matteo; Preston, Tom; Burrell, Aidan J C; Daly, Ivonne; Harvey, Chris; Mason, Phillip; Philipp, Alois; Bartlett, Robert H; Lynch, William; Belliato, Mirko; Taccone, Fabio Silvio.

In: ASAIO Journal, 02.04.2019.

Research output: Contribution to journalArticle

Broman, LM, Dirnberger, DR, Malfertheiner, MV, Aokage, T, Morberg, P, Næsheim, T, Pappalardo, F, Di Nardo, M, Preston, T, Burrell, AJC, Daly, I, Harvey, C, Mason, P, Philipp, A, Bartlett, RH, Lynch, W, Belliato, M & Taccone, FS 2019, 'International Survey on Extracorporeal Membrane Oxygenation Transport', ASAIO Journal. https://doi.org/10.1097/MAT.0000000000000997
Broman LM, Dirnberger DR, Malfertheiner MV, Aokage T, Morberg P, Næsheim T et al. International Survey on Extracorporeal Membrane Oxygenation Transport. ASAIO Journal. 2019 Apr 2. https://doi.org/10.1097/MAT.0000000000000997
Broman, Lars Mikael ; Dirnberger, Daniel R ; Malfertheiner, Maximilian V ; Aokage, Toshiyuki ; Morberg, Pål ; Næsheim, Torvind ; Pappalardo, Federico ; Di Nardo, Matteo ; Preston, Tom ; Burrell, Aidan J C ; Daly, Ivonne ; Harvey, Chris ; Mason, Phillip ; Philipp, Alois ; Bartlett, Robert H ; Lynch, William ; Belliato, Mirko ; Taccone, Fabio Silvio. / International Survey on Extracorporeal Membrane Oxygenation Transport. In: ASAIO Journal. 2019.
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