Related Experiment Video
Updated: Feb 16, 2026
03:40
Point-of-Care Ultrasound for Peripheral Veno-Arterial Extracorporeal Membrane Oxygenation Without Left Ventricular Venting
Published on: January 17, 2025
886
Extracorporeal Membrane Oxygenation Appropriateness: An Interdisciplinary Consensus-Based Approach.
Michael Nurok1, Jonathan Warsh2, Todd Griner3
1From the Department of Surgery, Cedars-Sinai Heart Institute, Los Angeles, California.
Anesthesia and Analgesia
|December 21, 2017
Summary
Implementing interdisciplinary rounds for extracorporeal membrane oxygenation (ECMO) care may reduce treatment duration. This quality improvement initiative focused on patient outcomes and burdens during ECMO support.
Area of Science:
- Critical Care Medicine
- Quality Improvement Science
Background:
- Extracorporeal membrane oxygenation (ECMO) is a life-support technology requiring complex, multidisciplinary care.
- Establishing consensus on appropriate ECMO delivery is crucial for optimizing patient outcomes and resource utilization.
Purpose of the Study:
- To implement and evaluate a quality improvement initiative for interdisciplinary consensus on ECMO delivery.
- To assess the impact of structured interdisciplinary rounds on ECMO patient management.
Main Methods:
- Implementation of daily interdisciplinary rounds for all ECMO patients.
- Rounds focused on evaluating care against patient's minimally acceptable outcome, maximally acceptable burden, and likelihood of achieving goals.
- Retrospective analysis of ECMO duration before and after initiative implementation.
Main Results:
- The median duration of venoarterial ECMO decreased from 6 days in 2014 to 5 days in 2015 and 1-8 days in 2016.
- Observed reduction in ECMO days occurred following the implementation of interdisciplinary rounds.
Conclusions:
- Interdisciplinary rounds may be associated with reduced extracorporeal membrane oxygenation duration.
- Further statistical analysis is required to definitively attribute the observed decrease in ECMO days to the quality improvement intervention.
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