{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T08:03:25Z","timestamp":1789373005920,"version":"build-2803163510"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2016,5,1]],"date-time":"2016-05-01T00:00:00Z","timestamp":1462060800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:p>Extracorporeal membrane oxygenation (ECMO) is an established therapy in the management of patients with refractory cardiogenic shock or acute respiratory failure. In this report, we describe the rapid development and implementation of an organized ECMO program at a facility that previously provided <jats:italic toggle=\"yes\">ad hoc<\/jats:italic> support. The program provides care for patients within the Emory Healthcare system and throughout the Southeastern United States. From September 2014 to February 2015, 16 patients were treated with either venovenous or venoarterial ECMO with a survival to decannulation of 53.3% and survival to intensive care unit discharge of 40%. Of the 16 patients, 10 were transfers from outside facilities of which 2 were remotely cannulated and initiated on ECMO support by our ECMO transport team. Complications included intracerebral hemorrhage, bleeding from other sites, and limb ischemia. The results suggest that a rapidly developed ECMO program can provide safe transport services and provide outcomes similar to those in the existing literature. Key components appear to be an institutional commitment, a physician champion, multidisciplinary leadership, and organized training. Further study is required to determine whether outcomes will continue to improve.<\/jats:p>","DOI":"10.1097\/mat.0000000000000331","type":"journal-article","created":{"date-parts":[[2016,1,6]],"date-time":"2016-01-06T13:11:44Z","timestamp":1452085904000},"page":"354-358","source":"Crossref","is-referenced-by-count":37,"title":["Rapid Development and Implementation of an ECMO Program"],"prefix":"10.1097","volume":"62","author":[{"given":"Vanessa","family":"Moll","sequence":"first","affiliation":[{"name":"Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elrond Y.L.","family":"Teo","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David S.","family":"Grenda","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cindy D.","family":"Powell","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Connor","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryce T.","family":"Gartland","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary J.","family":"Zellinger","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. Bruce","family":"Bray","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher A.","family":"Paciullo","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Craig M.","family":"Kalin","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean M.","family":"Wheeler","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Duc Q.","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James M.","family":"Blum","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20230821","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1097\/MAT.0000000000000160","article-title":"Extracorporeal membrane oxygenation use has increased by 433% in adults in the United States from 2006 to 2011.","volume":"61","author":"Sauer","year":"2015","journal-title":"ASAIO J"},{"key":"R2-20230821","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1177\/0267659108096261","article-title":"Transportation of critically ill patients on extracorporeal membrane oxygenation.","volume":"23","author":"Wagner","year":"2008","journal-title":"Perfusion"},{"key":"R3-20230821","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1093\/eurheartj\/ehs081","article-title":"Emergency circulatory support in refractory cardiogenic shock patients in remote institutions: A pilot study (the cardiac-RESCUE program).","volume":"34","author":"Beurtheret","year":"2013","journal-title":"Eur Heart J"},{"key":"R4-20230821","doi-asserted-by":"crossref","first-page":"1351","DOI":"10.1016\/S0140-6736(09)61069-2","article-title":"Efficacy and economic assessment of conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR): A multicentre randomised controlled trial.","volume":"374","author":"Peek","year":"2009","journal-title":"Lancet"},{"key":"R5-20230821","doi-asserted-by":"crossref","first-page":"1157","DOI":"10.6061\/clinics\/2012(10)07","article-title":"First-year experience of a Brazilian tertiary medical center in supporting severely ill patients using extracorporeal membrane oxygenation.","volume":"67","author":"Park","year":"2012","journal-title":"Clinics (Sao Paulo)"},{"key":"R6-20230821","doi-asserted-by":"crossref","first-page":"1888","DOI":"10.1001\/jama.2009.1535","article-title":"Extracorporeal membrane oxygenation for 2009 influenza A (H1N1) acute respiratory distress syndrome.","volume":"302","author":"Davies","year":"2009","journal-title":"JAMA"},{"key":"R9-20230821","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1097\/MAT.0b013e3182238b55","article-title":"Safe transport of critically ill adult patients on extracorporeal membrane oxygenation support to a regional extracorporeal membrane oxygenation center.","volume":"57","author":"Javidfar","year":"2011","journal-title":"ASAIO J"},{"key":"R10-20230821","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1097\/00002480-200211000-00007","article-title":"A review of 100 patients transported on extracorporeal life support.","volume":"48","author":"Foley","year":"2002","journal-title":"ASAIO J"}],"container-title":["ASAIO Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00002480-201605000-00022","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T01:39:24Z","timestamp":1692668364000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00002480-201605000-00022"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,5]]},"references-count":8,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2016]]}},"URL":"https:\/\/doi.org\/10.1097\/mat.0000000000000331","relation":{},"ISSN":["1058-2916"],"issn-type":[{"value":"1058-2916","type":"print"}],"subject":[],"published":{"date-parts":[[2016,5]]}}}