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. 2023 Jan 1;69(1):11-22.
doi: 10.1097/MAT.0000000000001783. Epub 2022 Jun 12.

Starting and Sustaining an Extracorporeal Membrane Oxygenation Program

Archana V Dhar  1 , Tracy Morrison  2 , Ryan P Barbaro  3 , Hergen Buscher  4 , Steven A Conrad  5 , Rodrigo Diaz  6 , Joseph Deng  7 , W Cory Ellis  8 , James Fortenberry  9 , Micheal Heard  10 , Robert Hyslop  11 , Dinis Reis Miranda  12 , Mark Ogino  13   14 , Wai Ching Simon Sin  15 , Bishoy Zakhary  16 , Graeme MacLaren  17
Affiliations

Starting and Sustaining an Extracorporeal Membrane Oxygenation Program

Archana V Dhar et al. ASAIO J. .

Abstract

The use of extracorporeal membrane oxygenation (ECMO) is growing rapidly in all patient populations, especially adults for both acute lung or heart failure. ECMO is a complex, high risk, resource-intense, expensive modality that requires appropriate planning, training, and management for successful outcomes. This article provides an optimal approach and the basic framework for initiating a new ECMO program, which can be tailored to meet local needs. Setting up a new ECMO program and sustaining it requires institutional commitment, physician champions, multidisciplinary team involvement, ongoing training, and education of the ECMO team personnel and a robust quality assurance program to minimize complications and improve outcomes.

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Conflict of interest statement

Disclosure: R.P.B. is the Extracorporeal Life Support Organization (ELSO) Registry Chair; he reports grants from National Institute of Health (NIH) R01 HL 153519, R01 HD015434. The other authors have no conflicts of interest to report.

References

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