Development of a collaborative program to provide extracorporeal membrane oxygenation for adults with refractory hypoxemia within the framework of a pandemic.
Journal Article (Journal Article)
OBJECTIVE: We report the process used to rapidly develop a collaborative adult respiratory extracorporeal membrane oxygenation program as a response to caring for young adult patients with refractory hypoxemia in the setting of the pH1N1 pandemic. DESIGN: Interdisciplinary response of a complex medical system to a public health crisis. PATIENTS, INTERVENTIONS, MEASUREMENTS, AND MAIN RESULTS: After the successful use of extracorporeal membrane oxygenation in young adults with pH1N1-induced acute respiratory distress syndrome refractory to conventional therapies, an adult venovenous extracorporeal membrane oxygenation program was implemented over an 8-wk period. Implementation of this program involved a number of key steps that were crucial in the development process, including administrative and institutional support, multidisciplinary leadership and collaboration, extensive interdisciplinary educational initiatives, and substantial technical modifications. CONCLUSIONS: In the setting of the pH1N1 influenza pandemic, an adult respiratory extracorporeal membrane oxygenation program was successfully developed to complement an established neonatal-pediatric program. This program expansion integrated all of the necessary components involved in the development process from start to finish and confirms that a healthcare system can respond very quickly and successfully to an urgent healthcare need.
Full Text
Duke Authors
Cited Authors
- Turner, DA; Williford, WL; Peters, MA; Thalman, JJ; Shearer, IR; Walczak, RJ; Griffis, M; Olson, SA; Sowers, KW; Govert, JA; Macintyre, NR; Cheifetz, IM
Published Date
- July 2011
Published In
Volume / Issue
- 12 / 4
Start / End Page
- 426 - 430
PubMed ID
- 21057349
International Standard Serial Number (ISSN)
- 1529-7535
Digital Object Identifier (DOI)
- 10.1097/PCC.0b013e3181ff41c1
Language
- eng
Conference Location
- United States