A qualitative exploration of acute care and psychological distress experiences of ECMO survivors

Tramm, Ralph; Ilić, Dragan; Murphy, Kylie; Sheldrake, Jayne; Pellegrino, Vincent; Hodgson, Carol

doi:10.1016/j.hrtlng.2016.01.010

Cited by 24 publications

(40 citation statements)

References 42 publications

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“…Three studies used a descriptive qualitative design, [8][9][10] and 2 studies did not report the type of study design used. 11,12 One study each used the following: focused ethnography, 13 grounded theory, 14 and interpretive phenomonology.…”

Section: Study Design Data Collection and Data Analysismentioning

confidence: 99%

“…16 Six studies collected data using semi-structured or in-depth interviews. [8][9][10]12,14,16 One study collected data using observations and interviews, 13 and another used interviews and documents. 11 One study collected data using focus groups.…”

Section: Study Design Data Collection and Data Analysismentioning

confidence: 99%

“…15 Four studies analyzed their data using thematic analysis. [8][9][10]15 One study each used the following: descriptive abductive, 13 content analysis, 11 qualitative descriptive, 16 Miles and Huberman's 3-phased analysis, 12 and grounded theory. 14…”

Section: Study Design Data Collection and Data Analysismentioning

confidence: 99%

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Extracorporeal Membrane Oxygenation for Adults and Children With Severe Respiratory Failure

Smith¹,

Loshak²

2021

cjht

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This review used a framework analysis to synthesize 9 included studies on the perspectives and experiences of patients, family members, and providers on extracorporeal membrane oxygenation (ECMO). Patients’ perspectives on their experiences are limited due to their sedated status when treated with ECMO. Supporting a relative treated with ECMO is stressful for family members. They feel anxious and worried about their relative because of the patient’s critical condition, and they struggle to juggle multiple roles at work and home while supporting their relative receiving ECMO. Family members often have to travel to see their critically ill relative. Financial and logistical support for temporary relocation near the ECMO centre may ease the burden of travel. Family members benefit from clear and frequent communication from health care providers as a source of support and reassurance while their loved ones are being treated with ECMO. There may be a role for informal or formal peer support for family members of patients receiving ECMO. Clinicians’ decisions to offer, continue, and withdraw ECMO are based on their assessments of prognostic factors from patients’ medical histories and clinical conditions. Additional clinical research and/or refinements of prognostic guidance for ECMO may further support evidence-informed decision-making around ECMO. Patients, family members, and clinical team members may differ in their assessment of the limits of ECMO treatment and the decision to transition from active treatment to the withdrawal of life support. These findings point to the role of ethical considerations and processes when engaging in transitioning to end-of-life support in the provision of ECMO. After discharge, patients who had received ECMO and their family members continued to have feelings of anxiety, intrusive thoughts, and a need to process the event. ECMO programs that can offer continued or ongoing support or referral for patients and their family members’ mental health may help address these needs.

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Section: Study Design Data Collection and Data Analysismentioning

confidence: 99%

Section: Study Design Data Collection and Data Analysismentioning

confidence: 99%

See 1 more Smart Citation

Extracorporeal Membrane Oxygenation for Adults and Children With Severe Respiratory Failure

Smith¹,

Loshak²

2021

cjht

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“…Patients with prolonged ECMO support are also prone to severe mental health issues including major depression and post-traumatic stress disorder (37,(84)(85)(86). Previous studies have shown that physical rehabilitation improves the mental health in several disease states (87).…”

Section: Ambulation On Ecmomentioning

confidence: 99%

Extracorporeal membrane oxygenation in the pre and post lung transplant period

2017

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Evolution in technology has resulted in rapid increase in utilization of extracorporeal membrane oxygenation (ECMO) as a bridge to recovery and/or transplantation. Although there is limited evidence for the use of ECMO, recent improvements in ECMO technology, personnel training, ambulatory practices on ECMO and lung protective strategies have resulted in improved outcomes in patients bridged to lung transplantation. This review provides an insight into the current outcomes and best practices for utilization of ECMO in the pre-and post-lung transplantation period.

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“…Extracorporeal membrane oxygenation (ECMO), and specifically venoarterial ECMO (VA-ECMO), has been shown to be an effective instrument to support patients in need of cardiopulmonary support [8][9][10]. However, despite the potential for improving survival, VA-ECMO is commonly associated with deconditioning due to the requirement for strict bedrest as a result of femoral cannulation [11]. As VA-ECMO is increasingly used for long periods of support, the associated deconditioning becomes increasingly important.…”

mentioning

confidence: 99%

Ambulation With Femoral Arterial Cannulation Can Be Safely Performed on Venoarterial Extracorporeal Membrane Oxygenation

Pasrija

Mackowick

Raithel

et al. 2019

The Annals of Thoracic Surgery

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A qualitative exploration of acute care and psychological distress experiences of ECMO survivors

Cited by 24 publications

References 42 publications

Extracorporeal Membrane Oxygenation for Adults and Children With Severe Respiratory Failure

Extracorporeal Membrane Oxygenation for Adults and Children With Severe Respiratory Failure

Extracorporeal membrane oxygenation in the pre and post lung transplant period

Ambulation With Femoral Arterial Cannulation Can Be Safely Performed on Venoarterial Extracorporeal Membrane Oxygenation

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