Identification and Certification of Extracorporeal Membrane Oxygenation Specialists in the United States

Odell, Richard M.; Erickson, Richard C.; McEwan, R

doi:10.1097/00002480-199210000-00023

Cited by 2 publications

(1 citation statement)

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“…The main finding was that the staffing arrangement implemented by most centres (59%) was the ECMO specialist nurse providing 24-h care supported by perfusion backup for the technical aspects of circuit management. This finding is in keeping with previously published surveys, which reported an incidence of between 73% and 89% of programmes employing a registered nurse with ICU experience and additional specialist training as the ECMO specialist to provide the management of the ECMO circuit (Allison et al, 1990;Odell et al, 1992;Lawson et al, 2008;Sutton et al, 2009). The other main finding is that in the majority of centres (65%), a staffing of 1:1 ECMO specialist per ECMO patient is used in addition to the bedside nurse.…”

Section: Discussionsupporting

confidence: 89%

An international survey: the role of specialist nurses in adult respiratory extracorporeal membrane oxygenation

Daly

Camporota

Barrett

2016

Nursing in Critical Care

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Section: Discussionsupporting

confidence: 89%

An international survey: the role of specialist nurses in adult respiratory extracorporeal membrane oxygenation

Daly

Camporota

Barrett

2016

Nursing in Critical Care

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North American Neonatal Extracorporeal Membrane Oxygenation (ECMO) Devices and Team Roles: 2008 Survey Results of Extracorporeal Life Support Organization (ELSO) Centers

Lawson

Lawson²,

Walczak³

et al. 2008

J Extra Corpor Technol

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In early 2008, surveys of active extracorporeal membrane oxygenation (ECMO) centers in North America were conducted by electronic mail regarding neonatal ECMO equipment and professional staff. Eighty of 103 (78%) North American ECMO centers listed in the Extracorporeal Life Support Organization directory as neonatal centers responded to the survey. Of the responding centers, 82.5% routinely used roller pumps for neonatal ECMO, and the remaining 17.5% used centrifugal pumps. Silicone membrane oxygenators were used by 67% of the respondents, whereas 19% used micro-porous hollow fiber oxygenators, and 14% used polymethylpentene hollow fiber oxygenators. Of the silicone membrane oxygenator users, 86% used the Medtronic Ecmotherm heat exchanger, 10% used the Gish HE-4 heat exchanger, and 4% used the Terumo Conducer device. Sixty-four percent of the responding centers used some form of in-line blood gas monitoring. Six percent of the centers used a bubble trap in the arterial line, and 5% used an arterial line filter. A bladder was used by 85% of the centers, and 4% of these used a mechanical bladder box for servo regulation; the remaining 96% used pressure servo regulation. An air bubble detector was used by 88% of the responding centers. A surface coating was used by 44% of the centers on all their neonatal ECMO patients. Thirty-one percent of the centers use an activated clotting time of 180–220 seconds. At 54% of the responding centers, perfusionists were involved with the ECMO program, registered nurses were involved at 70% of the centers, and respiratory therapists were involved at 46% of the centers. Compared with a 2002 survey, silicone membrane use is declining, and the use of centrifugal blood pumps and coated ECMO circuits is becoming more apparent. ECMO teams are still multidisciplinary, made up of combinations of registered nurses, respiratory therapists, and perfusionists.

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Identification and Certification of Extracorporeal Membrane Oxygenation Specialists in the United States

Cited by 2 publications

References 0 publications

An international survey: the role of specialist nurses in adult respiratory extracorporeal membrane oxygenation

An international survey: the role of specialist nurses in adult respiratory extracorporeal membrane oxygenation

North American Neonatal Extracorporeal Membrane Oxygenation (ECMO) Devices and Team Roles: 2008 Survey Results of Extracorporeal Life Support Organization (ELSO) Centers

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