Abstract
In recent decades, extracorporeal membrane oxygenation has become a fundamental support for cases of severe cardiopulmonary failure not responsive to conventional therapy. But the technical skills and clinical competencies required for proper management of such an invasive and high-risk treatment have limited its application.
The Extracorporeal Life Support Organization (ELSO) has published a list of recommendations and requirements that a center should satisfy in order to be recognized as suitable for managing extracorporeal support.
For an ECMO program to be developed, a dedicated team, led by a coordinator, must be available daily for 24-h coverage.
The training of personnel is essential to allow the program to run. That’s why ELSO created the so-called ECMO specialist: physician, nurse, or perfusionist familiar to this technology and the care of patients treated with ECMO.
With the encouraging results obtained over the last 10 years, and the increasingly simplified use of latest-generation miniaturized devices, extracirculatory support is bound to become more widespread.
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References
Peek G et al (2009) Efficacy and economic assessment of conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR): a multicentre randomised controlled trial. Lancet 374(17):1351–1363
Davis et al (2009) Australia and New Zeland Extracorporeal membrane oxygenation (ANZ ECMO) influenza investigators. JAMA 302(17):1888–1895
ELSO Guidelines for ECMO Centers, version 1.7 Feb 2010, pp 1–7
ELSO guidelines for the training and continuous education of ECMO specialists. Version 1.5 (2012) Available at: http://www.elsonet.org/index.php/resources/guidelines.html
MaClaren G et al (2007) Extracorporeal membrane oxygenation and sepsis. Crit Care Resusc 9:76–80
Skinner SC et al (2012) Improved survival in venovenous vs venoarterial extracorporeal membrane oxygenation for pediatric non cardiac septic patients. A study of the Extracorporeal Life Support Organization registry. J Pediatr Surg 47:63–67
Sung K et al (2006) Improved survival after cardiac arrest using emergent autopriming percutaneous cardiopulmonary support. Ann Thorac Surg 82:651–656
Halm EA et al (2002) Is volume related to outcome in health care? A systematic review and methodologic critique of the literature. Ann Intern Med 137(6):511–520
Kahn JM (2007) Volume, outcome and the organization of intensive care. Crit Care 11(3):129
Ogino MT et al (2012) ECMO Administrative and Training Issues, and Sustaining Quality. In Annich G (ed) ECMO: extracorporeal cardiopulmonary support in critical care, 4th edn. ELSO, Ann Arbor. pp. 479–497
Extracorporeal Life Support Organization (2010) Extracorporeal: ECMO specialist training manual. ELSO, Ann Arbor
Sheean PM et al (2013) The prevalence of sarcopenia in patients with respiratory failure classified as normally nourished using computed tomography and subjective global assessment. JPEN J Parent Enterl Nutr 20(10):1–7
Roberts TE (1998) Economic evaluation and randomised controlled trial of extracorporeal membrane oxygenation: UK collaborative trial. The Extracorporeal Membrane Oxygenation Economics Working Group. BMJ 317:911–916
Petrou S et al (2004) Cost effectiveness of neonatal extracorporeal membrane oxygenation based on four years results from the UK Collaborative ECMO trial. Arch Dis Child Fetal Neonatal Ed 89:F263–F268
Peek GJ et al (2009) Efficacy and economic assessment of conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR): a multicentre randomised controlled trial. Lancet 374:1352–1363
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Arcadipane, A.F., Panarello, G. (2014). Developing a New ECMO Program. In: Sangalli, F., Patroniti, N., Pesenti, A. (eds) ECMO-Extracorporeal Life Support in Adults. Springer, Milano. https://doi.org/10.1007/978-88-470-5427-1_2
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DOI: https://doi.org/10.1007/978-88-470-5427-1_2
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