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Rapid Development and Implementation of an ECMO Program.

Vanessa Moll1, Elrond Y L Teo, David S Grenda

  • 1From the *Department of Anesthesiology, Emory University School of Medicine, Atlanta, Georgia; †Department of Medicine, Divisions of Pulmonary, Allergy, Sleep and Critical Care and Renal Medicine, Emory University School of Medicine, Atlanta, Georgia; ‡Division of Hospital Medicine, Emory University School of Medicine, Atlanta, Georgia; §Division of Cardiovascular Nursing, Emory University School of Medicine, Atlanta, Georgia; ¶Department of Respiratory Care, ECMO Service, Neurophysiology, EKG, Pulmonary Function and Blood Gas Laboratories, Emory University Hospital, Emory University Orthopaedics and Spine Hospital, Atlanta, Georgia; ‖Department of Pharmacy, Emory University Hospital, Atlanta, Georgia; #Department of Perfusion, Emory University Hospital, Atlanta, Georgia; and **Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia.

ASAIO Journal (American Society for Artificial Internal Organs : 1992)
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PubMed
Summary
This summary is machine-generated.

Establishing an organized Extracorporeal Membrane Oxygenation (ECMO) program rapidly led to successful patient outcomes, including safe transport services. This initiative demonstrates that a structured ECMO program can achieve results comparable to established literature.

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Area of Science:

  • Cardiology
  • Pulmonology
  • Critical Care Medicine

Background:

  • Extracorporeal membrane oxygenation (ECMO) is a vital therapy for severe cardiogenic shock and respiratory failure.
  • Facilities often provide ECMO support on an ad hoc basis, lacking a structured program.

Purpose of the Study:

  • To describe the rapid development and implementation of an organized ECMO program.
  • To evaluate the program's initial outcomes and identify key success factors.

Main Methods:

  • Retrospective review of 16 patients treated with venovenous or venoarterial ECMO between September 2014 and February 2015.
  • Inclusion of data on patient transfers and ECMO transport services.

Main Results:

  • Overall survival to decannulation was 53.3%, and survival to ICU discharge was 40%.
  • The program successfully managed 10 out of 16 patients transferred from other facilities, including two remotely cannulated cases.
  • Reported complications included intracerebral hemorrhage, bleeding, and limb ischemia.

Conclusions:

  • A rapidly developed ECMO program can provide safe and effective care, including transport services, with outcomes aligning with existing literature.
  • Institutional commitment, physician leadership, multidisciplinary collaboration, and organized training are crucial for program success.