Ten things that nurses should know about ECMO

Kiersbilck, Cécile Van; Gordón, Elizabeth; Morris, Denise

doi:10.1007/s00134-016-4293-8

Cited by 17 publications

(10 citation statements)

References 13 publications

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“…The contraindications are: refractory hemodynamic instability with vasoactive drugs; chest and abdomen trauma; intracranial monitoring; hemodialysis; spinal cord injury; recent face surgery and cardiopulmonary bypass. 35 It is believed that using ultra-protective ventilation with low plateau pressures during VV-ECMO therapy would allow the formation of poorly ventilated areas in dependent lung regions and, consequently, could influence the change in the ventilation/perfusion ratio. It is noteworthy that the position makes it possible to recruit the dorsal regions of the lungs and thus may exert beneficial effects during VV-ECMO therapy.…”

Section: • Prone Positionmentioning

confidence: 99%

Cuidados a pacientes em uso de oxigenação por membrana extracorpórea

Santos

Cardoso

Cassia

et al. 2019

Rev enferm UFPE on line.

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Objetivo: analisar as evidências acerca da assistência de Enfermagem a pacientes em uso de oxigenação por membrana extracorpórea. Método: trata-se de um estudo bibliográfico, tipo revisão integrativa, com busca de artigos publicados em periódicos científicos de 2008 a 2018 e indexados nas bases de dados LILACS, MEDLINE e Scopus e no Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde (BIREME), analisados pela técnica de Análise de Conteúdo e apresentados em formas de figuras. Resultados: selecionaram-se nove artigos com a análise que agrupou os resultados nas seguintes categorias: Deambulação/Mobilização; Gerenciamento dos circuitos; Cuidados gerais de Enfermagem; Monitorização hemodinâmica, posição prona; Monitorização do estado de sedação; Controle da anticoagulação e monitoração do sangramento. Conclusão: entende-se que a assistência de Enfermagem repercute diretamente na melhora do quadro clínico de pacientes que utilizam este tipo de suporte hemodinâmico, sendo primordial para a sua completa recuperação. Devem-se proporcionar capacitações específicas para que os enfermeiros possuam habilidades e competências suficientes para assistir o paciente de maneira segura e eficaz. Descritores: Cuidados Críticos; Enfermagem; Cardiologia; Oxigenação por Membrana Extracorpórea; Monitorização Hemodinâmica; Cuidados de Enfermagem.AbstractObjective: to analyze the evidence about nursing care for patients using extracorporeal membrane oxygenation. Method: this is an integrative review bibliographic study, searching for articles published in scientific journals from 2008 to 2018 and indexed in the LILACS, MEDLINE and Scopus databases, and the Latin American and Caribbean Center for Science Information. Health (BIREME), analyzed by the Content Analysis technique and presented in figure forms. Results: nine articles were selected with the analysis that grouped the results into the following categories: Ambulation / Mobilization; Circuit management; General nursing care; Hemodynamic monitoring, prone position; Sedation status monitoring; Anticoagulation control and bleeding monitoring. Conclusion: it is understood that nursing care directly affects the improvement of the clinical condition of patients using this type of hemodynamic support, being essential for their complete recovery. Specific training should be provided so that nurses have sufficient skills and competencies to assist the patient safely and effectively. Descriptors: Critical Care; Nursing; Cardiology; Extracorporeal Membrane Oxygenation; Hemodynamic Monitoring; Nursing Care.ResumenObjetivo: analizar las evidencias sobre el cuidado de Enfermería para pacientes que usan oxigenación con membrana extracorpórea. Método: este es un estudio bibliográfico de revisión integradora, que busca artículos publicados en revistas científicas de 2008 a 2018 e indexados en las bases de datos LILACS, MEDLINE y Scopus, y en el Centro Latinoamericano y del Caribe de Información en Ciencia de la Salud (BIREME), analizadas por la técnica de Análisis de Contenido y presentadas en forma de figuras. Resultados: se seleccionaron nueve artículos con el análisis que agruparon los resultados en las siguientes categorías: Ambulación / Movilización; Gestión de circuitos; Cuidados generales de Enfermería; Monitoreo hemodinámico, posición prono; Monitorización del estado de la sedación; Control de anticoagulación y monitoreo de hemorragias. Conclusión: se entiende que la atención de Enfermería impacta directamente en la mejora de la condición clínica de los pacientes que utilizan este tipo de soporte hemodinámico, siendo esencial para su recuperación completa. Se debe proporcionar capacitaciones específicas para que los enfermeros tengan suficientes habilidades y competencias para ayudar al paciente de manera segura y efectiva. Descriptores: Cuidados Críticos; Enfermería; Cardiología; Oxigenación por Membrana Extracorpórea; Monitorización Hemodinámica; Atención de Enfermería.

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Section: • Prone Positionmentioning

confidence: 99%

Cuidados a pacientes em uso de oxigenação por membrana extracorpórea

Santos

Cardoso

Cassia

et al. 2019

Rev enferm UFPE on line.

View full text Add to dashboard Cite

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“…A recent study even suggested that lowvolume centers have better ECMO in-hospital mortality than high-volume centers [44], questioning the existence of a positive volume-outcome relationship in this population. Another unresolved issue is the nurse-to-patient ratio for ECMO patients [45]. Mobile ECMO retrieval teams might allow safe transportation under cardiopulmonary support to experienced tertiary centers and might ultimately improve survival of the sickest respiratory or cardiac failure patients initially treated in centers where ECMO is not possible.…”

Section: Regional/national Organization Of Ecmo Supportmentioning

confidence: 99%

The ICM research agenda on extracorporeal life support

et al. 2017

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“…Although there are numerous publications [1][2][3] related to nursing management of extracorporeal membrane oxygenation (ECMO), no guidelines exist about its application during a disaster, such as the global coronavirus disease 2019 (COVID-19) pandemic [4]. Moreover, the guidelines are unspeci ed for clinical nursing management of ECMO, and the use of personal protective equipment (PPE) during COVID-19 in ECMO [5].…”

Section: Introductionmentioning

confidence: 99%

Managing Patients on Extracorporeal Membrane Oxygenation Support During The COVID-19 Pandemic – A Proposal for A Nursing Standard Operating Procedure

Puślecki

Dąbrowski

Baumgart

et al. 2020

Preprint

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Background: Extracorporeal membrane oxygenation (ECMO) therapy is proven to be efficient in a selected critically ill patient population and is showing promising results in refractory hypoxemia in the novel coronavirus disease (COVID-19). However, it necessitates specialized clinicians and advanced technological resources. While COVID-19 is an ongoing global emergency, there is no evidence-based practice in preparedness. This article proposes an innovative and optimized nursing care protocol, the Standard Operating Procedure (SOP), that increase safety, and prevents overuse of personal protective equipment (PPE) without interfering with therapy during ECMO in COVID-19 patients. Methods: A high-fidelity simulation scenario was developed. It included practicing safe and proper PPE donning and doffing during work organization, ECMO cannulation and ECMO-related procedures, and routine daily nursing care and management of patients on ECMO over nine hours. Results: Results were collected in three parts – proposal of nursing standardized operating procedures. They provide including work organization, work load references, competences and infrastructural conditions. Additionally, the cannulation equipment checklist proposal and daily routine nursing algorithm with other procedures during extracorporeal support were created.Conclusions: High-fidelity medical simulation can play an important role in staff training, improvement in previously gained proficiency, and development of optimal SOP for nursing care and management during ECMO in patients with COVID-19. Optimal SOPs may further guide multidisciplinary teams including intensive care units and interventional departments.

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Ten things that nurses should know about ECMO

Cited by 17 publications

References 13 publications

Cuidados a pacientes em uso de oxigenação por membrana extracorpórea

Cuidados a pacientes em uso de oxigenação por membrana extracorpórea

The ICM research agenda on extracorporeal life support

Managing Patients on Extracorporeal Membrane Oxygenation Support During The COVID-19 Pandemic – A Proposal for A Nursing Standard Operating Procedure

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