Starting and Sustaining an Extracorporeal Membrane Oxygenation Program.
Starting and Sustaining an Extracorporeal Membrane Oxygenation Program.
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启动并维持体外膜氧合计划。
DOI：
10.1097/mat.0000000000001783
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
中科院分区：
文献类型：
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作者：
Dhar,ArchanaV;Morrison,Tracy;Barbaro,RyanP;Buscher,Hergen;Conrad,StevenA;Diaz,Rodrigo;Deng,Joseph;Ellis,WCory;Fortenberry,James;Heard,Micheal;Hyslop,Robert;Miranda,DinisReis;Ogino,Mark;Sin,WaiChingSimon;Zakhary,Bishoy;
体外膜肺氧合 (ECMO) 的使用在所有患者群体中迅速增长，尤其是急性肺衰竭或心力衰竭的成人患者。 ECMO 是一种复杂、高风险、资源密集且昂贵的模式，需要适当的规划、培训和管理才能取得成功。本文提供了启动新的 ECMO 项目的最佳方法和基本框架，可以根据当地需求进行定制。建立新的 ECMO 项目并维持它需要机构承诺、医生支持、多学科团队的参与、ECMO 团队人员的持续培训和教育，以及强有力的质量保证计划，以最大限度地减少并发症并改善结果。
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.