Establishing a New ECMO Referral Center Using an ICU-Based Approach: A Feasibility and Safety Study
Background: A high-volume center with a multidisciplinary team is regarded as the optimal place for providing extracorporeal membrane oxygenation (ECMO). We hypothesize that an ECMO center can also be successfully created and subsequently developed entirely by intensivists in a mid-size mixed intens...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-02-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/10/3/414 |
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| author | Ryszard Gawda Maciej Piwoda Maciej Marszalski Katarzyna Lyp Jolanta Piwoda Magdalena Maj Maciej Gawor Maciej Molsa Marek Pietka Tomasz Czarnik |
| author_facet | Ryszard Gawda Maciej Piwoda Maciej Marszalski Katarzyna Lyp Jolanta Piwoda Magdalena Maj Maciej Gawor Maciej Molsa Marek Pietka Tomasz Czarnik |
| author_sort | Ryszard Gawda |
| collection | DOAJ |
| description | Background: A high-volume center with a multidisciplinary team is regarded as the optimal place for providing extracorporeal membrane oxygenation (ECMO). We hypothesize that an ECMO center can also be successfully created and subsequently developed entirely by intensivists in a mid-size mixed intensive care unit (ICU). Methods: A model was created for setting up a new ECMO referral center within the structure of an existing mixed ICU in a tertiary hospital. A retrospective analysis was carried out of the first 33 patients treated in the initial period of the center’s activity, from mid 2018 to the end of 2020. Results: An ECMO center was established and developed entirely based on the resources of an existing mixed ICU. Thirty-three patients were treated. They had an overall survival rate at 90 days of 60.6%. In veno-venous (VV) mode ECMO duration, ICU length of stay, and SOFA score were significantly higher than in veno-arterial mode. No significant differences in clinical characteristics were observed between survivors and non-survivors on VV-ECMO. Conclusions: A regional ECMO center can be set up as an integral part of a mixed ICU in a tertiary hospital. Extracorporeal therapy, such as continuous renal replacement therapy and mechanical ventilation can be managed entirely by intensivists. Further studies are needed to show that the ICU-based approach to setting up a new ECMO center is no less effective than the multidisciplinary approach. |
| first_indexed | 2024-03-09T19:47:46Z |
| format | Article |
| id | doaj.art-e3e97531341e4a0295758425815ec599 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-09T19:47:46Z |
| publishDate | 2022-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-e3e97531341e4a0295758425815ec5992023-11-24T01:21:08ZengMDPI AGHealthcare2227-90322022-02-0110341410.3390/healthcare10030414Establishing a New ECMO Referral Center Using an ICU-Based Approach: A Feasibility and Safety StudyRyszard Gawda0Maciej Piwoda1Maciej Marszalski2Katarzyna Lyp3Jolanta Piwoda4Magdalena Maj5Maciej Gawor6Maciej Molsa7Marek Pietka8Tomasz Czarnik9Department of Anesthesiology, Intensive Care and Regional ECMO Center, Institute of Medical Sciences, University of Opole, 45-401 Opole, PolandDepartment of Anesthesiology, Intensive Care and Regional ECMO Center, Institute of Medical Sciences, University of Opole, 45-401 Opole, PolandDepartment of Anesthesiology, Intensive Care and Regional ECMO Center, Institute of Medical Sciences, University of Opole, 45-401 Opole, PolandDepartment of Family Medicine and Public Health, Faculty of Medicine, University of Opole, 45-052 Opole, PolandDepartment of Anesthesiology, Intensive Care and Regional ECMO Center, University Hospital in Opole, 45-401 Opole, PolandDepartment of Anesthesiology, Intensive Care and Regional ECMO Center, University Hospital in Opole, 45-401 Opole, PolandDepartment of Anesthesiology, Intensive Care and Regional ECMO Center, University Hospital in Opole, 45-401 Opole, PolandDepartment of Anesthesiology, Intensive Care and Regional ECMO Center, Institute of Medical Sciences, University of Opole, 45-401 Opole, PolandDepartment of Anesthesiology, Intensive Care and Regional ECMO Center, University Hospital in Opole, 45-401 Opole, PolandDepartment of Anesthesiology, Intensive Care and Regional ECMO Center, Institute of Medical Sciences, University of Opole, 45-401 Opole, PolandBackground: A high-volume center with a multidisciplinary team is regarded as the optimal place for providing extracorporeal membrane oxygenation (ECMO). We hypothesize that an ECMO center can also be successfully created and subsequently developed entirely by intensivists in a mid-size mixed intensive care unit (ICU). Methods: A model was created for setting up a new ECMO referral center within the structure of an existing mixed ICU in a tertiary hospital. A retrospective analysis was carried out of the first 33 patients treated in the initial period of the center’s activity, from mid 2018 to the end of 2020. Results: An ECMO center was established and developed entirely based on the resources of an existing mixed ICU. Thirty-three patients were treated. They had an overall survival rate at 90 days of 60.6%. In veno-venous (VV) mode ECMO duration, ICU length of stay, and SOFA score were significantly higher than in veno-arterial mode. No significant differences in clinical characteristics were observed between survivors and non-survivors on VV-ECMO. Conclusions: A regional ECMO center can be set up as an integral part of a mixed ICU in a tertiary hospital. Extracorporeal therapy, such as continuous renal replacement therapy and mechanical ventilation can be managed entirely by intensivists. Further studies are needed to show that the ICU-based approach to setting up a new ECMO center is no less effective than the multidisciplinary approach.https://www.mdpi.com/2227-9032/10/3/414critical carehealthcareintensive care unitextracorporeal membrane oxygenationECMO |
| spellingShingle | Ryszard Gawda Maciej Piwoda Maciej Marszalski Katarzyna Lyp Jolanta Piwoda Magdalena Maj Maciej Gawor Maciej Molsa Marek Pietka Tomasz Czarnik Establishing a New ECMO Referral Center Using an ICU-Based Approach: A Feasibility and Safety Study Healthcare critical care healthcare intensive care unit extracorporeal membrane oxygenation ECMO |
| title | Establishing a New ECMO Referral Center Using an ICU-Based Approach: A Feasibility and Safety Study |
| title_full | Establishing a New ECMO Referral Center Using an ICU-Based Approach: A Feasibility and Safety Study |
| title_fullStr | Establishing a New ECMO Referral Center Using an ICU-Based Approach: A Feasibility and Safety Study |
| title_full_unstemmed | Establishing a New ECMO Referral Center Using an ICU-Based Approach: A Feasibility and Safety Study |
| title_short | Establishing a New ECMO Referral Center Using an ICU-Based Approach: A Feasibility and Safety Study |
| title_sort | establishing a new ecmo referral center using an icu based approach a feasibility and safety study |
| topic | critical care healthcare intensive care unit extracorporeal membrane oxygenation ECMO |
| url | https://www.mdpi.com/2227-9032/10/3/414 |
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