Regional Planning for Extracorporeal Membrane Oxygenation Allocation During Coronavirus Disease 2019.
Chest
; 158(2): 603-607, 2020 08.
Artículo
en Inglés
| MEDLINE | ID: covidwho-683267
ABSTRACT
Health systems confronting the coronavirus disease 2019 (COVID-19) pandemic must plan for surges in ICU demand and equitably distribute resources to maximize benefit for critically ill patients and the public during periods of resource scarcity. For example, morbidity and mortality could be mitigated by a proactive regional plan for the triage of mechanical ventilators. Extracorporeal membrane oxygenation (ECMO), a resource-intensive and potentially life-saving modality in severe respiratory failure, has generally not been included in proactive disaster preparedness until recently. This paper explores underlying assumptions and triage principles that could guide the integration of ECMO resources into existing disaster planning. Drawing from a collaborative framework developed by one US metropolitan area with multiple adult and pediatric extracorporeal life support centers, this paper aims to inform decision-making around ECMO use during a pandemic such as COVID-19. It also addresses the ethical and practical aspects of not continuing to offer ECMO during a disaster.
Palabras clave
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
MEDLINE
Asunto principal:
Neumonía Viral
/
Oxigenación por Membrana Extracorpórea
/
Ventiladores Mecánicos
/
Triaje
/
Enfermedad Crítica
/
Infecciones por Coronavirus
/
Pandemias
/
Betacoronavirus
Límite:
Humanos
Idioma:
Inglés
Revista:
Chest
Año:
2020
Tipo del documento:
Artículo
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