Regional Planning for Extracorporeal Membrane Oxygenation Allocation During Coronavirus Disease 2019.

Abstract:

:Health systems confronting the coronavirus disease 2019 (COVID-19) pandemic must plan for surges in ICU demand and equitably distribute resources to maximize benefit for critically ill patients and the public during periods of resource scarcity. For example, morbidity and mortality could be mitigated by a proactive regional plan for the triage of mechanical ventilators. Extracorporeal membrane oxygenation (ECMO), a resource-intensive and potentially life-saving modality in severe respiratory failure, has generally not been included in proactive disaster preparedness until recently. This paper explores underlying assumptions and triage principles that could guide the integration of ECMO resources into existing disaster planning. Drawing from a collaborative framework developed by one US metropolitan area with multiple adult and pediatric extracorporeal life support centers, this paper aims to inform decision-making around ECMO use during a pandemic such as COVID-19. It also addresses the ethical and practical aspects of not continuing to offer ECMO during a disaster.

journal_name

Chest

journal_title

Chest

authors

Prekker ME,Brunsvold ME,Bohman JK,Fischer G,Gram KL,Litell JM,Saavedra-Romero R,Hick JL

doi

10.1016/j.chest.2020.04.026

subject

Has Abstract

pub_date

2020-08-01 00:00:00

pages

603-607

issue

2

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(20)30769-8

journal_volume

158

pub_type

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