The Southern California Extracorporeal Membrane Oxygenation Consortium During the Coronavirus Disease 2019 Pandemic.
The Southern California Extracorporeal Membrane Oxygenation Consortium During the Coronavirus Disease 2019 Pandemic.
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DOI：
10.1017/dmp.2021.179
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发表时间：
2021-06-08
影响因子：
2.7
通讯作者：
Pollema T
中科院分区：
文献类型：
--
作者：
Odish M;Yi C;Eigner J;Kenner Brininger A;Koenig KL;Willms D;Lerum S;McCaul S;Boyd King A;Sutherland G;Cederquist L;Owens RL;Pollema T
于二零二零年三月，在美国爆发2019冠状病毒病（COVID-19）大流行时，南加州体外膜氧合（ECMO）联盟成立。该联盟包括来自圣地亚哥县4个ECMO中心的医生和协调员。制定了指导方针，以确保在大流行期间在全国范围内以资源有效的方式公平地提供ECMO。一位生物医学伦理学家审查了该指南，以确保ECMO的使用将为这一有限资源提供最大的社区利益。圣地亚哥县卫生和人类服务局进一步将该准则纳入其稀缺资源分配计划。该联盟每周举行一次视频会议，以审查全县ECMO能力（包括人口普查和人员配备），共享数据，并讨论临床实践和疑难病例。ECMO中心之间的设备交换最大限度地提高了区域能力。从2020年3月1日至11月30日，联盟参与者将97名患者置于ECMO。没有符合条件的患者因缺乏资源或能力而被拒绝ECMO。南加州ECMO联盟可以作为其他社区在当前COVID-19或未来大流行期间寻求优化ECMO资源的典范。
In March 2020, at the onset of the coronavirus disease 2019 (COVID-19) pandemic in the United States, the Southern California Extracorporeal Membrane Oxygenation (ECMO) Consortium was formed. The consortium included physicians and coordinators from the 4 ECMO centers in San Diego County. Guidelines were created to ensure that ECMO was delivered equitably and in a resource effective manner across the county during the pandemic. A biomedical ethicist reviewed the guidelines to ensure ECMO use would provide maximal community benefit of this limited resource. The San Diego County Health and Human Services Agency further incorporated the guidelines into its plans for the allocation of scarce resources. The consortium held weekly video conferences to review countywide ECMO capacity (including census and staffing), share data, and discuss clinical practices and difficult cases. Equipment exchanges between ECMO centers maximized regional capacity. From March 1 to November 30, 2020, consortium participants placed 97 patients on ECMO. No eligible patients were denied ECMO due to lack of resources or capacity. The Southern California ECMO Consortium may serve as a model for other communities seeking to optimize ECMO resources during the current COVID-19 or future pandemics.
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DOI：
10.1016/s0140-6736(20)32008-0
发表时间：
2020-10-10
期刊：
Lancet (London, England)
影响因子：
--
作者：
Barbaro RP;MacLaren G;Boonstra PS;Iwashyna TJ;Slutsky AS;Fan E;Bartlett RH;Tonna JE;Hyslop R;Fanning JJ;Rycus PT;Hyer SJ;Anders MM;Agerstrand CL;Hryniewicz K;Diaz R;Lorusso R;Combes A;Brodie D;Extracorporeal Life Support Organization
通讯作者：
Extracorporeal Life Support Organization
影响因子：
4.4
作者：
Kaji, Amy;Koenig, Kristi L.;Bey, Tareg
通讯作者：
Bey, Tareg
影响因子：
2.7
作者：
Devereaux A;Yang H;Seda G;Sankar V;Maves RC;Karanjia N;Parrish JS;Rosenberg C;Goodman-Crews P;Cederquist L;Burkle FM;Tuteur J;Leroy C;Koenig KL
通讯作者：
Koenig KL
影响因子：
9.6
作者：
Prekker, Matthew E.;Brunsvold, Melissa E.;Hick, John L.
通讯作者：
Hick, John L.
影响因子：
120.7
作者：
Davies, Andrew;Jones, Daryl;Ziegenfuss, Marc
通讯作者：
Ziegenfuss, Marc