The Implementation and Outcomes of a Nurse-Run Extracorporeal Membrane Oxygenation Program, a Retrospective Single-Center Study.

Autor:	Odish M; Division of Pulmonary, Critical Care, and Sleep Medicine, University of California, San Diego, CA., Yi C; Department of Nursing, University of California, San Diego, CA., Tainter C; Division of Critical Care Anesthesiology, University of California, San Diego, CA., Najmaii S; Department of Perfusion, University of California, San Diego, CA., Ovando J; Department of Perfusion, University of California, San Diego, CA., Chechel L; Department of Nursing, University of California, San Diego, CA., Lipinski J; Division of Cardiovascular Medicine, University of California, San Diego, CA., Ignatyev A; Department of Nursing, University of California, San Diego, CA., Pile A; Department of Nursing, University of California, San Diego, CA., Yeong Jang Y; Department of Nursing, University of California, San Diego, CA., Lin T; Division of Biostatistics and Bioinformatics, University of California, San Diego, CA., Tu XM; Division of Biostatistics and Bioinformatics, University of California, San Diego, CA., Madani M; Division of Cardiovascular and Thoracic Surgery, University of California, San Diego, CA., Patel M; Division of Cardiovascular Medicine, University of California, San Diego, CA., Meier A; Division of Critical Care Anesthesiology, University of California, San Diego, CA., Pollema T; Division of Cardiovascular and Thoracic Surgery, University of California, San Diego, CA., Owens RL; Division of Pulmonary, Critical Care, and Sleep Medicine, University of California, San Diego, CA.
Jazyk:	angličtina
Zdroj:	Critical care explorations [Crit Care Explor] 2021 Jun 15; Vol. 3 (6), pp. e0449. Date of Electronic Publication: 2021 Jun 15 (Print Publication: 2021).
DOI:	10.1097/CCE.0000000000000449
Abstrakt:	Due to a shortage of perfusionists and increasing utilization of extracorporeal membrane oxygenation in the United States, many programs are training nurses as bedside extracorporeal membrane oxygenation specialists (i.e., nurse-run extracorporeal membrane oxygenation). Our objective was to evaluate if a nurse-run extracorporeal membrane oxygenation program has noninferior survival to discharge and complication rates compared with a perfusionist-run extracorporeal membrane oxygenation program. Additionally, to sought to describe increases in extracorporeal membrane oxygenation capacity and the potential for cost savings by implementing a nurse-run extracorporeal membrane oxygenation program. Competing Interests: Dr. Odish is currently receiving a grant (T32GM121318) from National Institute of General Medical Sciences, National Institute of Health. Dr. Meier is currently receiving a grant (1KL2TR001444) by the Altman Clinical and Translational Research Institute (ACTRI) at the University of California, San Diego. The ACTRI is funded from awards (UL1TR0001442) issued by the National Center for Advancing Translational Sciences, National Institute of Health. She is also receiving a grant (R01HL137052) from National Heart, Lung, and Blood Institute, National Institute of Health. Dr. Owens is currently receiving a grant (R01HL142114) from National Heart, Lung, and Blood Institute, National Institute of Health. The remaining authors have disclosed that they do not have any conflicts of interest. (Copyright © 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the Society of Critical Care Medicine.)
Databáze:	MEDLINE
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