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  • The perceived barriers and facilitators to implementation of ECMO services in acute hospitals

    Author(s)
    Fulcher, BJ
    Nicholson, AJ
    Linke, NJ
    Berkovic, D
    Hodgson, CL
    Anderson, S
    Bailey, MJ
    Bernard, S
    Board, JV
    Brodie, D
    Buhr, H
    Burrell, AJC
    Cooper, DJ
    Fraser, JF
    et al.
    Griffith University Author(s)
    Fraser, John F.
    Year published
    2020
    Metadata
    Show full item record
    Abstract
    Dear Editor, Extracorporeal membrane oxygenation (ECMO) is a highly specialised and invasive intervention that provides lifesaving circulatory or respiratory support for critically ill patients but carries considerable costs and mortality [1, 2]. International studies demonstrate that dedicated high-volume ECMO centres are associated with improved patient outcomes [3]. Australia currently lacks a national framework or guidelines governing ECMO implementation and use, and there is variation in the training of staff between sites and jurisdictions, the ratio of nurses–ECMO patients, the types of equipment used and the treatment ...
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    Dear Editor, Extracorporeal membrane oxygenation (ECMO) is a highly specialised and invasive intervention that provides lifesaving circulatory or respiratory support for critically ill patients but carries considerable costs and mortality [1, 2]. International studies demonstrate that dedicated high-volume ECMO centres are associated with improved patient outcomes [3]. Australia currently lacks a national framework or guidelines governing ECMO implementation and use, and there is variation in the training of staff between sites and jurisdictions, the ratio of nurses–ECMO patients, the types of equipment used and the treatment of patients between sites [4]. The aim of this study was to identify the perceived barriers and facilitators to implementation of ECMO services in acute hospital intensive care units (ICUs) in Australia. A secondary aim was to determine if there were differences between high- and low-volume ECMO centres.
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    Journal Title
    Intensive Care Medicine
    Volume
    46
    Issue
    11
    DOI
    https://doi.org/10.1007/s00134-020-06187-z
    Subject
    Clinical sciences
    Publication URI
    http://hdl.handle.net/10072/399067
    Collection
    • Journal articles

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