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Multicenter Study
. 2023 Mar 1;35(1):57-65.
doi: 10.5935/2965-2774.20230350-en.

Knowledge regarding extracorporeal membrane oxygenation management among Brazilian pediatric intensivists: a cross-sectional survey

José Colleti Júnior  1 , Arnaldo Prata-Barbosa  2 , Orlei Ribeiro Araujo  3 , Cristian Tedesco Tonial  4 , Felipe Rezende Caino de Oliveira  5 , Daniela Carla de Souza  6 , Fernanda Lima-Setta  2 , Thiago Silveira Jannuzzi de Oliveira  7 , Mary Lucy Ferraz Maia Fiuza de Mello  8 , Carolina Amoretti  9 , Paulo Ramos David João  10 , Cinara Carneiro Neves  11 , Norma Suely Oliveira  12 , Cira Ferreira Antunes Costa  13 , Daniel Garros  14
Affiliations
Multicenter Study

Knowledge regarding extracorporeal membrane oxygenation management among Brazilian pediatric intensivists: a cross-sectional survey

José Colleti Júnior et al. Crit Care Sci. .

Abstract

Objective: To assess Brazilian pediatric intensivists' general knowledge of extracorporeal membrane oxygenation, including evidence for its use, the national funding model, indications, and complications.

Methods: This was a multicenter cross-sectional survey including 45 Brazilian pediatric intensive care units. A convenience sample of 654 intensivists was surveyed regarding their knowledge on managing patients on extracorporeal membrane oxygenation, its indications, complications, funding, and literature evidence.

Results: The survey addressed questions regarding the knowledge and experience of pediatric intensivists with extracorporeal membrane oxygenation, including two clinical cases and 6 optional questions about the management of patients on extracorporeal membrane oxygenation. Of the 45 invited centers, 42 (91%) participated in the study, and 412 of 654 (63%) pediatric intensivists responded to the survey. Most pediatric intensive care units were from the Southeast region of Brazil (59.5%), and private/for-profit hospitals represented 28.6% of the participating centers. The average age of respondents was 41.4 (standard deviation 9.1) years, and the majority (77%) were women. Only 12.4% of respondents had taken an extracorporeal membrane oxygenation course. Only 19% of surveyed hospitals have an extracorporeal membrane oxygenation program, and only 27% of intensivists reported having already managed patients on extracorporeal membrane oxygenation. Specific extracorporeal membrane oxygenation management questions were responded to by only 64 physicians (15.5%), who had a fair/good correct response rate (median 63.4%; range 32.8% to 91.9%).

Conclusion: Most Brazilian pediatric intensivists demonstrated limited knowledge regarding extracorporeal membrane oxygenation, including its indications and complications. Extracorporeal membrane oxygenation is not yet widely available in Brazil, with few intensivists prepared to manage patients on extracorporeal membrane oxygenation and even fewer intensivists recognizing when to refer patients to extracorporeal membrane oxygenation centers.

Keywords: Child; Extracorporeal membrane oxygenation; Health knowledge, attitudes, practice; Pediatric intensive care units; Survey and questionnaires.

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Figures

Figure 1
Figure 1
The percentages of responses showing knowledge about extracorporeal membrane oxygenation, its indications, and complications (Likert scale)
Figure 2
Figure 2
Clinical case 1 : questions and answers of the respondents
Figure 3
Figure 3
Clinical case 2: questions and answers of the respondents
See this image and copyright information in PMC

References

    1. Chaves RC, Rabello Filho R, Timenetsky KT, Moreira FT, Vilanova LC, Bravim BA, et al. Extracorporeal membrane oxygenation: a literature review. Rev Bras Ter Intensiva. 2019;31(3):410–424. - PMC - PubMed
    1. Erdil T, Lemme F, Konetzka A, Cavigelli-Brunner A, Niesse O, Dave H, et al. Extracorporeal membrane oxygenation support in pediatrics. Ann Cardiothorac Surg. 2019;8(1):109–115. - PMC - PubMed
    1. Jenks CL, Raman L, Dalton HJ. Pediatric extracorporeal membrane oxygenation. Crit Care Clin. 2017;33(4):825–841. - PubMed
    1. Extracorporeal Life Support Organization (ELSO) ECMO/Extracorporeal Membrane Oxygenation. ELSO Live Registry Dashboard of ECMO Patient Data. [cited 2022 Mar 15]. Available from: https://www.elso.org/Registry/ELSOLiveRegistryDashboard.aspx.
    1. Barbaro RR, Brodie D, MacLaren G. Bridging the gap between intensivists and primary care clinicians in extracorporeal membrane oxygenation for respiratory failure in children: a review. JAMA Pediatr. 2021;175(5):510–517. - PMC - PubMed

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