Arzak Hamed , Guillaume Alinier , Ibrahim Fawzy Hassan
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The ECMO specialist’s role in troubleshooting ECMO emergencies
Whether a patient still has native lung function or not, respiratory extracorporeal membrane oxygenation (ECMO) complications need an immediate response from the ECMO team assigned to the patient. Methodological troubleshooting can be a key aspect to responding to an ECMO emergency if the cause of the issue is not clearly identifiable. To decrease the incidence of ECMO emergencies clear procedures must be in place and the ECMO team must be continuously trained through a variety of approaches before attempting to put a patient on ECMO or being given the responsibility of looking after such patient. Procedures that meet Extracorporeal Life Support Organization (ELSO) standards, a sufficient level of ECMO activity, and adequate competency of the clinicians are key to the success of an ECMO program. Both procedures and clinicians can be informed and tested using didactic sessions, focus group discussions, scenario-based simulations, water drills, bedside education, and case debriefings. Such activities should be ongoing and with adequate support for monitoring of skills validation, commonly faced issues, and patient outcomes.
期刊介绍:
The Egyptian Journal of Critical Care Medicine is the official Journal of the Egyptian College of Critical Care Physicians, the most authoritative organization of Egyptian physicians involved in the multi-professional field of critical care medicine. The journal is intended to provide a peer-reviewed source for multidisciplinary coverage of general acute and intensive care medicine and its various subcategories including cardiac, pulmonary, neuro, renal as well as post-operative care. The journal is proud to have an international multi-professional editorial board in the broad field of critical care that will assist in publishing promising research and breakthrough reports that lead to better patients care in life threatening conditions, and bring the reader a quick access to the latest diagnostic and therapeutic approaches in monitoring and management of critically ill patients.