Nursing Roles in Extracorporeal Membrane Oxygenation.
Journal
The American journal of nursing
ISSN: 1538-7488
Titre abrégé: Am J Nurs
Pays: United States
ID NLM: 0372646
Informations de publication
Date de publication:
01 Nov 2024
01 Nov 2024
Historique:
medline:
25
10
2024
pubmed:
25
10
2024
entrez:
24
10
2024
Statut:
ppublish
Résumé
Extracorporeal membrane oxygenation (ECMO) is a type of mechanical circulatory support that is increasingly utilized in the United States for severe respiratory and/or cardiac failure refractory to conventional therapies. It is an expensive and complex life support modality. Moreover, patients on ECMO are critically ill and require a strong multidisciplinary care team. A successful ECMO program involves a trained team consisting of physicians, perfusionists, nurses, and respiratory therapists. This article discusses the multiple roles of ECMO nurses, the various ECMO delivery care models, and the potential cost savings of an RN ECMO specialist staffing model-and introduces the novel role of the ECMO lead.
Identifiants
pubmed: 39446511
doi: 10.1097/01.NAJ.0001081100.87718.df
pii: 00000446-202411000-00018
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
30-37Informations de copyright
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.
Références
Brodie D, et al. Extracorporeal life support for adults with respiratory failure and related indications: a review. JAMA 2019;322(6):557–68.
Burrell A, et al. Extracorporeal membrane oxygenation for critically ill adults. Cochrane Database Syst Rev 2023;9(9):CD010381.
Combes A, et al. Extracorporeal life support for adults with acute respiratory distress syndrome. Intensive Care Med 2020;46(12):2464–76.
Tsangaris A, et al. Overview of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) support for the management of cardiogenic shock. Front Cardiovasc Med 2021;8:686558.
Extracorporeal Life Support Organization (ELSO). General guidelines for all ECLS cases, version 1.4. Ann Arbor, MI; 2017 Aug. https://www.elso.org/portals/0/elso%20guidelines%20general%20all%20ecls%20version%201_4.pdf.
Lorusso R, et al. ELSO interim guidelines for venoarterial extracorporeal membrane oxygenation in adult cardiac patients. ASAIO J 2021;67(8):827–44.
Tonna JE, et al. Management of adult patients supported with venovenous extracorporeal membrane oxygenation (VV ECMO): guideline from the Extracorporeal Life Support Organization (ELSO). ASAIO J 2021;67(6):601–10.
Extracorporeal Life Support Organization (ELSO). ECLS international summary of statistics (May). 2024. https://www.elso.org/registry/internationalsummaryandreports/internationalsummary.aspx.
Barbaro RP, et al. Association of hospital-level volume of extracorporeal membrane oxygenation cases and mortality: analysis of the extracorporeal life support organization registry. Am J Respir Crit Care Med 2015;191(8):894–901.
Bercker S, et al. ECMO use in Germany: an analysis of 29,929 ECMO runs. PLoS One 2021;16(12):e0260324.
Oude Lansink-Hartgring A, et al. Hospital costs of extracorporeal membrane oxygenation in adults: a systematic review. Pharmacoecon Open 2021;5(4):613–23.
Extracorporeal Life Support Organization (ELSO). ELSO guidelines for training and continuing education of ECMO specialists, version 1.5. Ann Arbor, MI; 2010 Feb. https://www.elso.org/portals/0/igd/archive/filemanager/97000963d6cusersshyerdocumentselsoguidelinesfortrainingandcontinuingeducationofecmospecialists.pdf.
Odish M, et al. The implementation and outcomes of a nurse-run extracorporeal membrane oxygenation program, a retrospective single-center study. Crit Care Explor 2021;3(6):e0449.
Extracorporeal Life Support Organization (ELSO). Registry of active ELSO centers using ECMO. 2024. https://www.elso.org/registry.aspx.
MacLaren G, et al, editors. Extracorporeal Life Support: The ELSO Red Book. 6th ed. Ann Arbor, MI: Extracorporeal Life Support Organization 2022.
Oxford Reference. Force multiplier effect: Oxford University Press; n.d.; https://www.oxfordreference.com/display/10.1093/oi/authority.20110803095827908.
Extracorporeal Life Support Organization (ELSO). ELSO guidelines for ECMO centers, version 1.8. Ann Arbor, MI; 2014 Mar. https://elso.org/portals/0/igd/archive/filemanager/faf3f6a3c7cusersshyerdocumentselsoguidelinesecmocentersv1.8.pdf.
Fraze TK, et al. Role of nurse practitioners in caring for patients with complex health needs. Med Care 2020;58(10):853–60.
Fulton JS, et al. Description of work processes used by clinical nurse specialists to improve patient outcomes. Nurs Outlook 2019;67(5):511–22.
Extracorporeal Life Support Organization (ELSO). Know the ECMO/ECLS team members and their roles: the ECMO team. n.d. https://www.elso.org/ecmo-resources/the-ecmo-team.aspx.
Odish MF, et al. Implementation and outcomes of a mobile extracorporeal membrane oxygenation program in the United States during the coronavirus disease 2019 pandemic. J Cardiothorac Vasc Anesth 2021;35(10):2869–74.
Corno AF, et al. Mobile extracorporeal membrane oxygenation. ASAIO J 2021;67(5):594–600.
Boyd DL, Lyle-Edrosolo G. Implementing nurse extracorporeal membrane oxygenation specialists to maintain a sustainable program. Nurse Lead 2023;21(2):239–43.
Dhamija A, et al. Outcome and cost of nurse-led vs perfusionist-led extracorporeal membrane oxygenation. Ann Thorac Surg 2022;113(4):1127–34.
Ross P, et al. Nursing workforce, education, and training challenges to implementing extracorporeal membrane oxygenation services in Australian intensive care units: a qualitative substudy. Aust Crit Care 2023;36(1):114–8.