Position Paper for the Organization of Extracorporeal Membrane Oxygenation Programs for Acute Respiratory Failure in Adult Patients

DOI PDF 被引用文献6件
  • Alain Combes
    Institute of Cardiometabolism and Nutrition, Groupe Hospitalier Pitié–Salpêtrière, Pierre Marie Curie University, Paris, France
  • Daniel Brodie
    Columbia University, New York, New York
  • Robert Bartlett
    University of Michigan, Ann Arbor, Michigan
  • Laurent Brochard
    St. Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada
  • Roy Brower
    Johns Hopkins University School of Medicine, Baltimore, Maryland
  • Steve Conrad
    Louisiana State University Health Sciences Center, Shreveport, Louisiana
  • Daniel De Backer
    Erasme Hospital, Université libre de Bruxelles, Bruxelles, Belgium
  • Eddy Fan
    Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada
  • Niall Ferguson
    Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada
  • James Fortenberry
    Emory University School of Medicine, Atlanta, Georgia
  • John Fraser
    The Prince Charles Hospital and The University of Queensland, Brisbane, Queensland, Australia
  • Luciano Gattinoni
    Ospedale Maggiore Policlinico, Milan, Italy
  • William Lynch
    University of Michigan, Ann Arbor, Michigan
  • Graeme MacLaren
    National University Hospital, Singapore, Singapore
  • Alain Mercat
    University of Angers, Angers, France
  • Thomas Mueller
    University of Regensburg, Regensburg, Germany
  • Mark Ogino
    Alfred I. duPont Hospital for Children, Wilmington, Delaware
  • Giles Peek
    East Midlands Congenital Heart Centre, Leicester, United Kingdom
  • Vince Pellegrino
    The Alfred Hospital and Monash Medical Centre, Melbourne, Victoria, Australia
  • Antonio Pesenti
    Università di Milano-Bicocca, Monza, Italy
  • Marco Ranieri
    S. Giovanni Battista Molinette Hospital, Turin, Italy; and
  • Arthur Slutsky
    St. Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada
  • Alain Vuylsteke
    Papworth Hospital NHS Foundation Trust, Papworth, United Kingdom

書誌事項

公開日
2014-09-01
権利情報
  • https://academic.oup.com/pages/standard-publication-reuse-rights
DOI
  • 10.1164/rccm.201404-0630cp
公開者
Oxford University Press (OUP)

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説明

<jats:title>Abstract</jats:title> <jats:p>The use of extracorporeal membrane oxygenation (ECMO) for severe acute respiratory failure (ARF) in adults is growing rapidly given recent advances in technology, even though there is controversy regarding the evidence justifying its use. Because ECMO is a complex, high-risk, and costly modality, at present it should be conducted in centers with sufficient experience, volume, and expertise to ensure it is used safely. This position paper represents the consensus opinion of an international group of physicians and associated health-care workers who have expertise in therapeutic modalities used in the treatment of patients with severe ARF, with a focus on ECMO. The aim of this paper is to provide physicians, ECMO center directors and coordinators, hospital directors, health-care organizations, and regional, national, and international policy makers a description of the optimal approach to organizing ECMO programs for ARF in adult patients. Importantly, this will help ensure that ECMO is delivered safely and proficiently, such that future observational and randomized clinical trials assessing this technique may be performed by experienced centers under homogeneous and optimal conditions. Given the need for further evidence, we encourage restraint in the widespread use of ECMO until we have a better appreciation for both the potential clinical applications and the optimal techniques for performing ECMO.</jats:p>

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