【体外膜肺ECMO精品课件】 ECMO Program.pptVIP

ECMO Program Daphne Hardison, RN BSN ECMO Manager Welcome to the Jungle! What is ECMO? Cardiopulmonary bypass (CPB) Complete cardiopulmonary support in the operating room Extracorporeal membrane oxygenation (ECMO) Partial cardiopulmonary support Veno-arterial: cardiac and pulmonary support Veno-venous: pulmonary support Extracorporeal CO2 removal (ECCOR) Partial pulmonary support Ventricular assist device (VAD) Partial cardiac support Bubble Oxygenators 1954 First CPB – Short term support ASD repair 1971- First Adult ECMO 1975- First Neonatal ECMO 1997 – CESAR TRIAL UK 2008 CESAR Published From this… TO THIS!! Dr. Robert Bartlett First successful ECMO patient, 1971 J Donald Hill MD and Maury Bramson BME, Santa Barbara, Ca, 1971. (Courtesy of Robert Bartlett, MD) CESAR Trial: Extracorporeal Membrane Oxygenation Improves Survival in Patients With Severe Respiratory Failure (2008) Why Complete an Adult Trial? ECMO History Slide courtesy of Gail M. Annich M.D. ECMO Volumes Year Patients Patient Days 2009 35 276 2010 79 489 2011 75 502 2012 64 442 Vanderbilt’s ECMO Program: One of the Largest in the World Based on ELSO data according to number of ECMO runs/year. Consistently in top 10 last 6 years. Have been ranked as high as #1 880+ patients since 1989. 700+ patients since 2002 One of 135 ECMO Centers across the globe One of 3 in TN Typical ECMO Programs runs around 15 ECMO cases /year utilizing up to 20-40 ECMO Specialists ELSO – Extracorporeal Life Support Organization ECLS Registry Report Documentation Research ELSO Formed 1989 Vanderbilt Data Submitted from the beginning ELSO Award of Excellence ELSO Award of Excellence “Center has demonstrated extraordinary achievement …Patient care by using the highest quality measures…. ?Excellence in training, education, collaboration” 2008-2010 2012-2014 2010-2012  Volumes CONFIDENTIAL INFORMATION. This information is confidential and privileged pursuant to TCA 63-1-150, and 68-11-272 et s