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Extracorporeal membrane oxygenation and Extracorporeal Membrane Oxygenation Cardiopulmonary Resusciation (ECPR) research priorities in Australia: A clinician survey.
- Source :
-
Australian critical care : official journal of the Confederation of Australian Critical Care Nurses [Aust Crit Care] 2023 Sep; Vol. 36 (5), pp. 828-831. Date of Electronic Publication: 2023 Jan 04. - Publication Year :
- 2023
-
Abstract
- Background: The use of extracorporeal membrane oxygenation (ECMO) for cardiorespiratory failure and during cardiopulmonary resuscitation has increased significantly and is resource intensive. High-quality evidence to guide management of patients on ECMO is limited.<br />Objectives: The objective of this study was to determine the research priorities of clinicians for ECMO and Extracorporeal Membrane Oxygenation Cardiopulmonary Resusciation (ECPR) in Australia and New Zealand.<br />Methods: A prospective, binational survey of clinicians was conducted in May 2022.<br />Results: There were 133 respondents; 110 (84%) worked at an Australian ECMO centre; 28 (21%) were emergency, 45 (34%) were intensive care, and 41 (31%) were nursing clinicians. All aspects of ECMO care were identified by respondents as being important for further research; however, appropriate patient selection and determining long-term outcomes were ranked the highest. While most believed ECMO was efficacious, they felt that there was insufficient evidence to determine cost-effectiveness. There was uncertainty of the best model of ECPR provision. Equipoise exists for randomised studies into anticoagulation, blood product usage, and ECPR.<br />Conclusions: This survey found strong support amongst clinicians for further research into the optimal use of ECMO and ECPR and provides a frame work for prioritising future clinical trials and research agendas.<br />Competing Interests: Conflict of interest The authors report no conflict of interest.<br /> (Copyright © 2022 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 1036-7314
- Volume :
- 36
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Australian critical care : official journal of the Confederation of Australian Critical Care Nurses
- Publication Type :
- Academic Journal
- Accession number :
- 36604268
- Full Text :
- https://doi.org/10.1016/j.aucc.2022.11.009