Emergent implantation of temporary mechanical circulatory support using venoarterial ECMO (ECLS for extracorporeal Life Support) is increasingly adopted in various indications of acute circulatory failure refractory to optimal medical treatment. To implant such devices, but also to provide appropriate daily management, expertise and adapted technical platform are required. Organization, coordination and regulation of such program are not clearly established in our country. We propose a dedicated territorial organization to improve and facilitate management of these specific and most severe patients.
Extracorporeal membrane oxygenation support in acute circulatory failure: A plea for regulation and better organization.
Arch Cardiovasc Dis. 2019;112(6-7):441-449.
MeSH terms: Acute Disease; Consensus; Delivery of Health Care, Integrated; Extracorporeal Membrane Oxygenation; France; Humans; Models, Organizational; Outcome and Process Assessment, Health Care; Patient Care Team; Shock; Treatment Outcome
DOI: 10.1016/j.acvd.2019.04.008