The Impact of an Advanced ECMO Program on Traumatically Injured Patients

April A. Grant, Valerie J. Hart, Edward B. Lineen, Cynthia Lai, Enrique Ginzburg, Douglas Houghton, Carl I. Schulman, Rodrigo Vianna, Amit N. Patel, Amelia Casalenuovo, Matthias Loebe, Ali Ghodsizad

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

In June 2016, an advanced extracorporeal membrane oxygenation (ECMO) program consisting of a multidisciplinary team was initiated at a large level-one trauma center. The program was created to standardize management for patients with a wide variety of pathologies, including trauma. This study evaluated the impact of the advanced ECMO program on the outcomes of traumatically injured patients undergoing ECMO. A retrospective cohort study was performed on all patients sustaining traumatic injury who required ECMO support from January 2014 to September 2017. The primary outcome was to determine survival in trauma ECMO patients in the two timeframes, before and after initiation of the advanced ECMO program. Secondary outcomes included complication rates, length of stay, ventilator usage, and ECMO days. One hundred and thirty eight patients were treated with ECMO during the study period. Of the 138 patients, 22 sustained traumatic injury. Seven patients were treated in our pre-group and 15 in our post-group. The majority of patients were treated with VV ECMO. Our post group VV ECMO extracorporeal survival rate was 64% and our survival to discharge was 55%. This study demonstrated an improvement in survival after implementation of our advanced ECMO program. The implementation of a multidisciplinary trauma ECMO team dedicated to the rescue of critically ill patients is the key for achieving excellent outcomes in the trauma population.

Original languageEnglish (US)
Pages (from-to)1043-1051
Number of pages9
JournalArtificial Organs
Volume42
Issue number11
DOIs
StatePublished - Nov 1 2018

Keywords

  • Extracorporeal membrane oxygenation
  • Hemorrhage
  • Thrombosis
  • Trauma
  • Weaning protocol

ASJC Scopus subject areas

  • Bioengineering
  • Medicine (miscellaneous)
  • Biomaterials
  • Biomedical Engineering

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