A survey of extracorporeal membrane oxygenation practice in 23 Australian adult intensive care units

Natalie J. Linke, Bentley J. Fulcher, Daniel M. Engeler, Shannah Anderson, Michael J. Bailey, Stephen Bernard, Jasmin V. Board, Daniel Brodie, Heidi Buhr, Aidan J.C. Burrell, David J. Cooper, Eddy Fan, John F. Fraser, David J. Gattas, Alisa M. Higgins, Ingrid K. Hopper, Sue Huckson, Edward Litton, Shay P. McGuinness, Priya NairNeil Orford, Rachael L. Parke, Vincent A. Pellegrino, David V. Pilcher, Jayne Sheldrake, Benjamin A.J. Reddi, Dion Stub, Tony V. Trapani, Andrew A. Udy, Carol L. Hodgson, for the EXCEL Investigators

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Abstract

In Australia, extracorporeal membrane oxygenation (ECMO) is one of the most expensive diagnosis-related groups, costing $305 463 per complex admission to the intensive care unit (ICU).1-3 Mortality in this group of patients is high, about 43% for respiratory failure and 68% for cardiac failure.4-5 ECMO is associated with significant risk to the patient and requires specialist training and expertise.1-3,6-7 Variation in clinical practice for patients supported with ECMO may compromise patient care and outcomes.8-10 In order to prepare for the coordination of this complex intervention in Australian ICUs, clinicians need to access accurate data on patients undergoing ECMO. International studies have reviewed resources and management required for ECMO; however, there is an absence of high quality multicentre observational data on the provision of ECMO in Australia.11-16 Therefore, the aims of this study were to identify clinical practice guidelines, complication reporting, resource utilisation, and training practices in Australia before the commencement of a national ECMO registry.
Original languageEnglish
Pages (from-to)166-170
Number of pages5
JournalCritical Care and Resuscitation
Volume22
Issue number2
Publication statusPublished - Jun 2020

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