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Position paper for the organization of extracorporeal membrane oxygenation programs for acute respiratory failure in adult patients.
Am J Respir Crit Care Med. 2014 Sep 01; 190(5):488-96.AJ

Abstract

The use of extracorporeal membrane oxygenation (ECMO) for severe acute respiratory failure (ARF) in adults is growing rapidly given recent advances in technology, even though there is controversy regarding the evidence justifying its use. Because ECMO is a complex, high-risk, and costly modality, at present it should be conducted in centers with sufficient experience, volume, and expertise to ensure it is used safely. This position paper represents the consensus opinion of an international group of physicians and associated health-care workers who have expertise in therapeutic modalities used in the treatment of patients with severe ARF, with a focus on ECMO. The aim of this paper is to provide physicians, ECMO center directors and coordinators, hospital directors, health-care organizations, and regional, national, and international policy makers a description of the optimal approach to organizing ECMO programs for ARF in adult patients. Importantly, this will help ensure that ECMO is delivered safely and proficiently, such that future observational and randomized clinical trials assessing this technique may be performed by experienced centers under homogeneous and optimal conditions. Given the need for further evidence, we encourage restraint in the widespread use of ECMO until we have a better appreciation for both the potential clinical applications and the optimal techniques for performing ECMO.

Authors+Show Affiliations

1 Institute of Cardiometabolism and Nutrition, Groupe Hospitalier Pitié-Salpêtrière, Pierre Marie Curie University, Paris, France.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Consensus Development Conference
Journal Article
Practice Guideline

Language

eng

PubMed ID

25062496

Citation

Combes, Alain, et al. "Position Paper for the Organization of Extracorporeal Membrane Oxygenation Programs for Acute Respiratory Failure in Adult Patients." American Journal of Respiratory and Critical Care Medicine, vol. 190, no. 5, 2014, pp. 488-96.
Combes A, Brodie D, Bartlett R, et al. Position paper for the organization of extracorporeal membrane oxygenation programs for acute respiratory failure in adult patients. Am J Respir Crit Care Med. 2014;190(5):488-96.
Combes, A., Brodie, D., Bartlett, R., Brochard, L., Brower, R., Conrad, S., De Backer, D., Fan, E., Ferguson, N., Fortenberry, J., Fraser, J., Gattinoni, L., Lynch, W., MacLaren, G., Mercat, A., Mueller, T., Ogino, M., Peek, G., Pellegrino, V., ... Vuylsteke, A. (2014). Position paper for the organization of extracorporeal membrane oxygenation programs for acute respiratory failure in adult patients. American Journal of Respiratory and Critical Care Medicine, 190(5), 488-96. https://doi.org/10.1164/rccm.201404-0630CP
Combes A, et al. Position Paper for the Organization of Extracorporeal Membrane Oxygenation Programs for Acute Respiratory Failure in Adult Patients. Am J Respir Crit Care Med. 2014 Sep 1;190(5):488-96. PubMed PMID: 25062496.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Position paper for the organization of extracorporeal membrane oxygenation programs for acute respiratory failure in adult patients. AU - Combes,Alain, AU - Brodie,Daniel, AU - Bartlett,Robert, AU - Brochard,Laurent, AU - Brower,Roy, AU - Conrad,Steve, AU - De Backer,Daniel, AU - Fan,Eddy, AU - Ferguson,Niall, AU - Fortenberry,James, AU - Fraser,John, AU - Gattinoni,Luciano, AU - Lynch,William, AU - MacLaren,Graeme, AU - Mercat,Alain, AU - Mueller,Thomas, AU - Ogino,Mark, AU - Peek,Giles, AU - Pellegrino,Vince, AU - Pesenti,Antonio, AU - Ranieri,Marco, AU - Slutsky,Arthur, AU - Vuylsteke,Alain, AU - ,, PY - 2014/7/26/entrez PY - 2014/7/26/pubmed PY - 2014/10/29/medline KW - acute respiratory distress syndrome KW - critical care networks KW - extracorporeal membrane oxygenation KW - hospital organization KW - position article SP - 488 EP - 96 JF - American journal of respiratory and critical care medicine JO - Am. J. Respir. Crit. Care Med. VL - 190 IS - 5 N2 - The use of extracorporeal membrane oxygenation (ECMO) for severe acute respiratory failure (ARF) in adults is growing rapidly given recent advances in technology, even though there is controversy regarding the evidence justifying its use. Because ECMO is a complex, high-risk, and costly modality, at present it should be conducted in centers with sufficient experience, volume, and expertise to ensure it is used safely. This position paper represents the consensus opinion of an international group of physicians and associated health-care workers who have expertise in therapeutic modalities used in the treatment of patients with severe ARF, with a focus on ECMO. The aim of this paper is to provide physicians, ECMO center directors and coordinators, hospital directors, health-care organizations, and regional, national, and international policy makers a description of the optimal approach to organizing ECMO programs for ARF in adult patients. Importantly, this will help ensure that ECMO is delivered safely and proficiently, such that future observational and randomized clinical trials assessing this technique may be performed by experienced centers under homogeneous and optimal conditions. Given the need for further evidence, we encourage restraint in the widespread use of ECMO until we have a better appreciation for both the potential clinical applications and the optimal techniques for performing ECMO. SN - 1535-4970 UR - https://www.unboundmedicine.com/medline/citation/25062496/full_citation L2 - http://www.atsjournals.org/doi/full/10.1164/rccm.201404-0630CP?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -