Allocation of resources and development of guidelines for extracorporeal membrane oxygenation (ECMO): Experience from a pediatric center in the epicenter of the COVID-19 pandemic.

Abstract:

:The rapid spread of coronavirus disease 2019 (COVID-19) has exceeded the standard capacity of many hospital systems and led to an unprecedented scarcity of resources, including the already limited resource of extracorporeal membrane oxygenation (ECMO). With the large amount of critically ill patients and the highly contagious nature of the virus, significant consideration of ECMO candidacy is crucial for both appropriate allocation of resources as well as ensuring protection of health care personnel. As a leading pediatric ECMO program in the epicenter of the pandemic, we established new protocols and guidelines in order to continue caring for our pediatric patients while accepting adult patients to lessen the burden of our hospital system which was above capacity. This article describes our changes in consultation, cannulation, and daily care of COVID-19 positive patients requiring ECMO as well as discusses strategies for ensuring safety of our ECMO healthcare personnel and optimal allocation of resources. LEVEL OF EVIDENCE: Level V.

journal_name

J Pediatr Surg

authors

Gerall C,Cheung EW,Klein-Cloud R,Kreines E,Brewer M,Middlesworth W

doi

10.1016/j.jpedsurg.2020.08.015

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

2548-2554

issue

12

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(20)30593-5

journal_volume

55

pub_type

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