British societies guideline on the management of emergencies in patients on extracorporeal membrane oxygenation.

IF 21.2 1区医学 Q1 CRITICAL CARE MEDICINE

Intensive Care Medicine Pub Date : 2025-10-06 DOI:10.1007/s00134-025-08142-2

Waqas Akhtar,Neil Brain,Clara Hernandez Caballero,Luigi Camporota,Charles D Deakin,Pauline Elliott,Hannah Fitzmaurice,Luke Flower,Debra Gaffey,Miguel Garcia,Roy S Gardner,Georgios Georgovasilis,Matthew Govier,Timothy Jackson,Ian Naldrett,Marlies Ostermann,Henning Pauli,Brijesh Patel,Sameer Patel,Sofia Pinto,Timothy Pitt,Aaron Ranasinghe,Carla Richardson,Hayley Robertson,Antonio Rubino,Caroline Sampson,Rana Sayeed,Sachin Shah,Neil Swanson,Louit Thakuria,Christopher Walker,Stephen Webb,Barbara Wilson,Alex Rosenberg

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引用次数: 0

Abstract

Extracorporeal membrane oxygenation (ECMO) is providing an increasingly important therapy for patients in severe heart and lung failure. Care of these patients is complex, with changes in circulation that mean standard advanced life support algorithms may not always be applicable. Through collaboration between all UK ECMO centres and eight national societies, we have assessed the current evidence base and, using a modified Delphi process, produced national guidelines on the management of emergencies on ECMO. The guidelines focus on the recognition of cardiac arrest, team prioritisation, and early ECMO troubleshooting for key life-saving interventions. The guidelines are applicable to all staff and types of ECMO performed in the UK and should be utilised in conjunction with appropriate training. In summary, the joint British societies and ECMO centres working group present the UK guideline for the management of emergencies in ECMO.

查看原文本刊更多论文

英国学会体外膜氧合病人急诊处理指南。

体外膜氧合（Extracorporeal membrane oxygenation， ECMO）是治疗严重心肺衰竭的重要手段。这些患者的护理是复杂的，随着血液循环的变化，意味着标准的高级生命支持算法可能并不总是适用。通过所有英国ECMO中心和8个国家协会之间的合作，我们评估了目前的证据基础，并使用改进的德尔菲过程，制定了关于ECMO紧急情况管理的国家指南。该指南侧重于心脏骤停的识别、团队优先排序以及关键救生干预措施的早期ECMO故障排除。该指南适用于在英国进行的所有工作人员和ECMO类型，并应与适当的培训一起使用。总之，联合英国学会和ECMO中心工作组提出了英国ECMO紧急情况管理指南。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Intensive Care Medicine 医学-危重病医学

CiteScore

51.50

自引率

2.80%

发文量

326

审稿时长

1 months

期刊介绍： Intensive Care Medicine is the premier publication platform fostering the communication and exchange of cutting-edge research and ideas within the field of intensive care medicine on a comprehensive scale. Catering to professionals involved in intensive medical care, including intensivists, medical specialists, nurses, and other healthcare professionals, ICM stands as the official journal of The European Society of Intensive Care Medicine. ICM is dedicated to advancing the understanding and practice of intensive care medicine among professionals in Europe and beyond. The journal provides a robust platform for disseminating current research findings and innovative ideas in intensive care medicine. Content published in Intensive Care Medicine encompasses a wide range, including review articles, original research papers, letters, reviews, debates, and more.