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Development of a collaborative program to provide extracorporeal membrane oxygenation for adults with refractory hypoxemia within the framework of a pandemic.

Publication ,  Journal Article
Turner, DA; Williford, WL; Peters, MA; Thalman, JJ; Shearer, IR; Walczak, RJ; Griffis, M; Olson, SA; Sowers, KW; Govert, JA; Macintyre, NR ...
Published in: Pediatr Crit Care Med
July 2011

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.

Duke Scholars

Published In

Pediatr Crit Care Med

DOI

ISSN

1529-7535

Publication Date

July 2011

Volume

12

Issue

4

Start / End Page

426 / 430

Location

United States

Related Subject Headings

  • Young Adult
  • Respiratory Distress Syndrome, Adult
  • Respiratory Distress Syndrome
  • Program Development
  • Pediatrics
  • Pandemics
  • Influenza, Human
  • Influenza A Virus, H1N1 Subtype
  • Hypoxia
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
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Turner, D. A., Williford, W. L., Peters, M. A., Thalman, J. J., Shearer, I. R., Walczak, R. J., … Cheifetz, I. M. (2011). Development of a collaborative program to provide extracorporeal membrane oxygenation for adults with refractory hypoxemia within the framework of a pandemic. Pediatr Crit Care Med, 12(4), 426–430. https://doi.org/10.1097/PCC.0b013e3181ff41c1
Turner, David A., Walter L. Williford, Michelle A. Peters, Janice J. Thalman, Ian R. Shearer, Richard J. Walczak, Michael Griffis, et al. “Development of a collaborative program to provide extracorporeal membrane oxygenation for adults with refractory hypoxemia within the framework of a pandemic.Pediatr Crit Care Med 12, no. 4 (July 2011): 426–30. https://doi.org/10.1097/PCC.0b013e3181ff41c1.
Turner DA, Williford WL, Peters MA, Thalman JJ, Shearer IR, Walczak RJ, et al. Development of a collaborative program to provide extracorporeal membrane oxygenation for adults with refractory hypoxemia within the framework of a pandemic. Pediatr Crit Care Med. 2011 Jul;12(4):426–30.
Turner, David A., et al. “Development of a collaborative program to provide extracorporeal membrane oxygenation for adults with refractory hypoxemia within the framework of a pandemic.Pediatr Crit Care Med, vol. 12, no. 4, July 2011, pp. 426–30. Pubmed, doi:10.1097/PCC.0b013e3181ff41c1.
Turner DA, Williford WL, Peters MA, Thalman JJ, Shearer IR, Walczak RJ, Griffis M, Olson SA, Sowers KW, Govert JA, Macintyre NR, Cheifetz IM. Development of a collaborative program to provide extracorporeal membrane oxygenation for adults with refractory hypoxemia within the framework of a pandemic. Pediatr Crit Care Med. 2011 Jul;12(4):426–430.

Published In

Pediatr Crit Care Med

DOI

ISSN

1529-7535

Publication Date

July 2011

Volume

12

Issue

4

Start / End Page

426 / 430

Location

United States

Related Subject Headings

  • Young Adult
  • Respiratory Distress Syndrome, Adult
  • Respiratory Distress Syndrome
  • Program Development
  • Pediatrics
  • Pandemics
  • Influenza, Human
  • Influenza A Virus, H1N1 Subtype
  • Hypoxia
  • Humans