Allocation of resources and development of guidelines for extracorporeal membrane oxygenation (ECMO): Experience from a pediatric center in the epicenter of the COVID-19 pandemic.
Acute respiratory distress syndrome (ARDS)
COVID-19
Extracorporeal membrane oxygenation (ECMO)
Pandemic
SARS-CoV-2
Journal
Journal of pediatric surgery
ISSN: 1531-5037
Titre abrégé: J Pediatr Surg
Pays: United States
ID NLM: 0052631
Informations de publication
Date de publication:
Dec 2020
Dec 2020
Historique:
received:
27
05
2020
revised:
10
07
2020
accepted:
12
08
2020
pubmed:
22
9
2020
medline:
19
12
2020
entrez:
21
9
2020
Statut:
ppublish
Résumé
The rapid spread of coronavirus disease 2019 (COVID-19) has exceeded the standard capacity of many hospital systems and led to an unprecedented scarcity of resources, including the already limited resource of extracorporeal membrane oxygenation (ECMO). With the large amount of critically ill patients and the highly contagious nature of the virus, significant consideration of ECMO candidacy is crucial for both appropriate allocation of resources as well as ensuring protection of health care personnel. As a leading pediatric ECMO program in the epicenter of the pandemic, we established new protocols and guidelines in order to continue caring for our pediatric patients while accepting adult patients to lessen the burden of our hospital system which was above capacity. This article describes our changes in consultation, cannulation, and daily care of COVID-19 positive patients requiring ECMO as well as discusses strategies for ensuring safety of our ECMO healthcare personnel and optimal allocation of resources. LEVEL OF EVIDENCE: Level V.
Identifiants
pubmed: 32951890
pii: S0022-3468(20)30593-5
doi: 10.1016/j.jpedsurg.2020.08.015
pmc: PMC7449139
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
2548-2554Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.
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