Abstract
Worldwide the use of extracorporeal life support (ECLS) and membrane oxygenation (ECMO) is increasing. Due to continuous innovations, today’s extracorporeal systems are transportable and percutaneously implantable. This means that they can be practically implanted almost everywhere. However, due to the need for specific and intensive postimplant care, patients from any health care facility can actually be supplied with a portable system by mobile teams, and afterwards transported to an ECLS center for further treatment.
The complexity of the therapy and the multitude of possible adverse events associated with the use of extracorporeal circulation (ECC) require a high level of experience in this complex treatment, care, and support of these patients and their relatives. From our point of view, this can only be guaranteed in specialized centers in which high grade of expertise and well-trained staff from many different fields and professions are available 24 h a day, 7 days a week. In this chapter we provide a deep insight in infrastructure requirements, staff demands, as well as the level of expertise and service for ECMO program with the main focus on cardiac support (ECLS programs). As the key treatment of such severely ill patients is performed in intensive care units (ICU), those requirements are in first line associated with intensive care.
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Deppe, AC. (2023). Add-on Modules, Quality Assessment Issues, and Specific Arrangements in Intensive Care Units (ICU) Sector: Demand of Infrastructure and Staff. In: Sabashnikov, A., Wahlers, T. (eds) ECMO Retrieval Program Foundation. Springer, Cham. https://doi.org/10.1007/978-3-031-20260-5_8
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DOI: https://doi.org/10.1007/978-3-031-20260-5_8
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