Starting and Sustaining an Extracorporeal Membrane Oxygenation Program

Area of Science:

• Cardiovascular Medicine
• Pulmonology
• Critical Care Medicine

Background:

• Extracorporeal membrane oxygenation (ECMO) use is increasing across all patient groups, particularly for adult acute heart or lung failure.
• ECMO is a complex, high-risk, resource-intensive, and expensive therapy demanding meticulous planning, training, and management for optimal results.

Purpose of the Study:

• To provide an optimal approach and basic framework for initiating a new ECMO program.
• To offer guidance that can be adapted to specific institutional requirements.

Main Methods:

• The article outlines essential components for establishing and sustaining an ECMO program.
• Key elements include institutional commitment, dedicated physician leadership, multidisciplinary team engagement, continuous training, and a strong quality assurance program.

Main Results:

• Successful ECMO program initiation and long-term viability depend on comprehensive planning and resource allocation.
• A structured approach is crucial for managing the complexities and risks associated with ECMO therapy.

Conclusions:

• Initiating and sustaining an ECMO program necessitates institutional commitment, multidisciplinary collaboration, and ongoing education.
• A robust quality assurance program is vital for minimizing complications and enhancing patient outcomes in ECMO therapy.