key: cord-0730664-2gwl9m94
authors: Crowley, Jerome; Raz, Yuval; Funamoto, Masaki; Shelton, Kenneth T.
title: Adult Extracorporeal Membrane Oxygenation Patient Selection During Coronavirus Disease 2019: The Value of a Review Panel During Coronavirus Disease 2019
date: 2020-06-23
journal: Crit Care Med
DOI: 10.1097/ccm.0000000000004474
sha: 80a5e75f58f0edbf07b7e2ab26a291ac5607753c
doc_id: 730664
cord_uid: 2gwl9m94

nan

This review panel at our institution is responsible for updating our patient criteria based on new information about this new and rapidly progressive disease. Group decisions are important and underscore the value and impact of shared learning to help decide on possible candidates.

Finally, as the authors mentioned a cross-specialty model of care allows for programs to work across department/division lines to optimize care for this new patient population. We have experience at our own institution and others have reported patients with multisystem organ involvement of COVID-19 such as myocarditis (4), cardiovascular disease, and acute kidney injury (5). This is critically important for patient selection but also device selection with the ability to offer cardiac, respiratory, and renal support through hybrid ECMO configurations. As an institution, our current review panel and response team consists of intensivists from anesthesiology, pulmonology, cardiology, emergency medicine, and cardiac surgery with ECMO specialists for patient selection, device selection, and ultimately cannulation. Support was provided solely from institutional and/or departmental sources.

The authors have disclosed that they do not have any potential conflicts of interest.

Approach to adult extracorporeal membrane oxygenation patient selection

Extracorporeal membrane oxygenation is a team sport: institutional survival benefits of a formalized ECMO team

Adult ICU triage during the coronavirus disease 2019 pandemic: who will live and who will die? Recommendations to improve survival

Cardiac involvement in a patient with coronavirus disease 2019 (COVID-19)

Survival rate in acute kidney injury superimposed COVID-19 patients: a systematic review and meta-analysis

Copyright © 2020 by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. All Rights Reserved