Extracorporeal membrane oxygenation support in acute circulatory failure: A plea for regulation and better organization

Arch Cardiovasc Dis. 2019 Jun-Jul;112(6-7):441-449. doi: 10.1016/j.acvd.2019.04.008. Epub 2019 Jun 25.

Abstract

Emergent implantation of temporary mechanical circulatory support using venoarterial ECMO (ECLS for extracorporeal Life Support) is increasingly adopted in various indications of acute circulatory failure refractory to optimal medical treatment. To implant such devices, but also to provide appropriate daily management, expertise and adapted technical platform are required. Organization, coordination and regulation of such program are not clearly established in our country. We propose a dedicated territorial organization to improve and facilitate management of these specific and most severe patients.

Keywords: Coordination; ECLS; ECMO; Organisation; Organization; Regulation; Régulation.

Publication types

  • Practice Guideline
  • Review

MeSH terms

  • Acute Disease
  • Consensus
  • Delivery of Health Care, Integrated / organization & administration
  • Delivery of Health Care, Integrated / standards*
  • Extracorporeal Membrane Oxygenation / adverse effects
  • Extracorporeal Membrane Oxygenation / instrumentation
  • Extracorporeal Membrane Oxygenation / mortality
  • Extracorporeal Membrane Oxygenation / standards*
  • France
  • Humans
  • Models, Organizational
  • Outcome and Process Assessment, Health Care / organization & administration
  • Outcome and Process Assessment, Health Care / standards*
  • Patient Care Team / standards
  • Shock / diagnosis
  • Shock / mortality
  • Shock / physiopathology
  • Shock / therapy*
  • Treatment Outcome