Quo Vadis, ECMO? Multidisciplinary Hybrid Extra Corporeal Membrane Oxygenation Rounds During the COVID-19 Pandemic.

Autor: Blakeman S; Mayo Clinic, Phoenix, Arizona., Danley S; Mayo Clinic, Phoenix, Arizona., Amity M; Mayo Clinic, Phoenix, Arizona., DeValeria P; Mayo Clinic, Phoenix, Arizona., Miller B; Mayo Clinic, Phoenix, Arizona., Alwardt C; Mayo Clinic, Phoenix, Arizona., Kiley B; Mayo Clinic, Phoenix, Arizona., Meltzer EC; Mayo Clinic, Phoenix, Arizona., Patel B; Mayo Clinic, Phoenix, Arizona., Humphrey E; Mayo Clinic, Phoenix, Arizona., Yee C; Mayo Clinic, Phoenix, Arizona., Downey FX; Mayo Clinic, Phoenix, Arizona., D'Cunha J; Mayo Clinic, Phoenix, Arizona., Sen A; Mayo Clinic, Phoenix, Arizona. Electronic address: sen.ayan@mayo.edu.
Jazyk: angličtina
Zdroj: Journal of cardiothoracic and vascular anesthesia [J Cardiothorac Vasc Anesth] 2024 Nov; Vol. 38 (11), pp. 2546-2551. Date of Electronic Publication: 2024 Aug 02.
DOI: 10.1053/j.jvca.2024.07.049
Abstrakt: The complex care of patients on extracorporeal membrane oxygenation (ECMO) requires a high level of collaboration between multiple medical specialties and allied health professionals. Effective and timely communication between team members is imperative in ensuring patient safety. The COVID-19 pandemic posed unique challenges in the care of patients on ECMO. Communication between team members was complicated by social distancing recommendations, increased patient volume, and staff turnover. In this article, we describe a hybrid approach to rounds that allowed team members to attend virtually or in-person to improve team communication. Weekly hybrid ECMO rounds were held to discuss patient cases and work collectively to establish patient centered goals for the following week. Critical care and surgical consultants, registered nurse ECMO specialists, RNs, perfusionists, respiratory therapists, physical and occupational therapists, pharmacists, ethics committee members, and patient family members were invited to attend hybrid ECMO rounds. After eight months of rounds, medical care team members were asked to provide feedback regarding the rounds format, strengths, and weaknesses. The most frequently identified strengths were improved multidisciplinary communication and continuity of care. This article demonstrates that hybrid virtual and in-person patient rounds are a feasible way for ECMO programs to improve team communication and overall patient care.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: