Scaling up a National Extracorporeal Membrane Oxygenation Referral Service for adult patients in acute severe respiratory failure at the time of a pandemic.
| Autor: | Jooste R; Royal Papworth Hospital NHS Foundation Trust, Cambridge, UK., Rowan KM; Intensive Care National Audit & Research Centre, London, UK., Symes N; NHS England and NHS Improvement, London, UK., Vuylsteke A; Royal Papworth Hospital NHS Foundation Trust, Cambridge, UK. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of the Intensive Care Society [J Intensive Care Soc] 2022 Nov; Vol. 23 (4), pp. 473-478. Date of Electronic Publication: 2021 Jun 04. |
| DOI: | 10.1177/17511437211022129 |
| Abstrakt: | The National ECMO Service for patients in acute severe respiratory failure in England responded to the challenge of the coronavirus pandemic by implementing a central electronic referral system within days. Prior to this, each ECMO centre managed independently around 20 ECMO referrals per month. Early during the pandemic, we recognised the need for a referral system to co-ordinate the anticipated increased number of referrals. We implemented rapidly a referral system with universal access across England. This allowed the five National ECMO centres to manage over 1000 referrals in the first seven weeks of the pandemic. Key benefits of the new system included facilitated communication and collaboration between centres; data on demand; and capacity shared in real-time. We believe this was instrumental in allowing us to continue to provide for the whole country, respond at scale, and facilitate our collaborative work as a multidisciplinary team. Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Intensive Care Society 2021.) |
| Databáze: | MEDLINE |
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