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The Impact of an Advanced ECMO Program on Traumatically Injured Patients
April A Grant1,2, Valerie J Hart1,2, Edward B Lineen1,2
1Dewitt Daughtry Family Department of Surgery, Division of Trauma, Surgical Critical Care and Burns, University of Miami, Leonard M. Miller School of Medicine, Miami, FL, USA.
Artificial Organs
|July 25, 2018
Summary
Implementing an advanced extracorporeal membrane oxygenation (ECMO) program improved survival rates for trauma patients. A multidisciplinary team approach is key for better outcomes in critically ill trauma cases requiring ECMO.
Area of Science:
- Critical Care Medicine
- Trauma Surgery
- Cardiopulmonary Support
Background:
- Extracorporeal membrane oxygenation (ECMO) offers life support for severe respiratory or cardiac failure.
- Standardized management protocols are crucial for optimizing ECMO outcomes, especially in trauma patients.
Purpose of the Study:
- To evaluate the impact of an advanced, multidisciplinary ECMO program on survival and outcomes in traumatically injured patients.
- To compare outcomes before and after the implementation of a dedicated trauma ECMO team.
Main Methods:
- Retrospective cohort study of trauma patients requiring ECMO support from January 2014 to September 2017.
- Comparison of survival rates, complication rates, length of stay, and ventilator/ECMO days between pre- and post-program implementation groups.
- Focus on venovenous (VV) ECMO for the majority of patients.
Main Results:
- A total of 22 trauma patients received ECMO; 7 pre-program and 15 post-program.
- The post-program group showed improved extracorporeal survival (64%) and survival to discharge (55%).
- Implementation of the advanced ECMO program correlated with enhanced survival for trauma patients.
Conclusions:
- An advanced, multidisciplinary ECMO program significantly improved survival outcomes for traumatically injured patients.
- Establishing a dedicated trauma ECMO team is essential for achieving excellent results in this critical patient population.
- Standardized, team-based ECMO care enhances the rescue of critically ill trauma patients.
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