TY - JOUR
T1 - Extracorporeal membrane oxygenation and Extracorporeal Membrane Oxygenation Cardiopulmonary Resusciation (ECPR) research priorities in Australia
T2 - A clinician survey
AU - Dennis, Mark
AU - Southwood, Timothy J.
AU - Oliver, Matthew
AU - Nichol, Alistair
AU - Burrell, Aidan
AU - Hodgson, Carol
N1 - Funding Information:
Dr Dennis is supported by a Post-Doctoral Scholarship (Ref: 105849) from the National Heart Foundation of Australia . The National Heart Foundation had no role in the study design, collection, analysis, or interpretation of the data, nor in writing of the data and submission of the article.
Publisher Copyright:
© 2022 Australian College of Critical Care Nurses Ltd
PY - 2023
Y1 - 2023
N2 - Background: The use of extracorporeal membrane oxygenation (ECMO) for cardiorespiratory failure and during cardiopulmonary resuscitation has increased significantly and is resource intensive. High-quality evidence to guide management of patients on ECMO is limited. Objectives: The objective of this study was to determine the research priorities of clinicians for ECMO and Extracorporeal Membrane Oxygenation Cardiopulmonary Resusciation (ECPR) in Australia and New Zealand. Methods: A prospective, binational survey of clinicians was conducted in May 2022. Results: There were 133 respondents; 110 (84%) worked at an Australian ECMO centre; 28 (21%) were emergency, 45 (34%) were intensive care, and 41 (31%) were nursing clinicians. All aspects of ECMO care were identified by respondents as being important for further research; however, appropriate patient selection and determining long-term outcomes were ranked the highest. While most believed ECMO was efficacious, they felt that there was insufficient evidence to determine cost-effectiveness. There was uncertainty of the best model of ECPR provision. Equipoise exists for randomised studies into anticoagulation, blood product usage, and ECPR. Conclusions: This survey found strong support amongst clinicians for further research into the optimal use of ECMO and ECPR and provides a frame work for prioritising future clinical trials and research agendas.
AB - Background: The use of extracorporeal membrane oxygenation (ECMO) for cardiorespiratory failure and during cardiopulmonary resuscitation has increased significantly and is resource intensive. High-quality evidence to guide management of patients on ECMO is limited. Objectives: The objective of this study was to determine the research priorities of clinicians for ECMO and Extracorporeal Membrane Oxygenation Cardiopulmonary Resusciation (ECPR) in Australia and New Zealand. Methods: A prospective, binational survey of clinicians was conducted in May 2022. Results: There were 133 respondents; 110 (84%) worked at an Australian ECMO centre; 28 (21%) were emergency, 45 (34%) were intensive care, and 41 (31%) were nursing clinicians. All aspects of ECMO care were identified by respondents as being important for further research; however, appropriate patient selection and determining long-term outcomes were ranked the highest. While most believed ECMO was efficacious, they felt that there was insufficient evidence to determine cost-effectiveness. There was uncertainty of the best model of ECPR provision. Equipoise exists for randomised studies into anticoagulation, blood product usage, and ECPR. Conclusions: This survey found strong support amongst clinicians for further research into the optimal use of ECMO and ECPR and provides a frame work for prioritising future clinical trials and research agendas.
KW - ECMO
KW - ECPR
KW - Extracorporeal membrane oxygenation
KW - Mechanical Circulatory Support Cardiopulmonary Resuscitation
UR - http://www.scopus.com/inward/record.url?scp=85145744122&partnerID=8YFLogxK
U2 - 10.1016/j.aucc.2022.11.009
DO - 10.1016/j.aucc.2022.11.009
M3 - Article
C2 - 36604268
AN - SCOPUS:85145744122
SN - 1036-7314
JO - Australian Critical Care
JF - Australian Critical Care
ER -