{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:32:40Z","timestamp":1777915960725,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"1_suppl","license":[{"start":{"date-parts":[[2024,4,1]],"date-time":"2024-04-01T00:00:00Z","timestamp":1711929600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perfusion"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:p>Weaning and liberation from VA ECMO in cardiogenic shock patients comprises a complex process requiring a continuous trade off between multiple clinical parameters. In the absence of dedicated international guidelines, we hypothesized a great heterogeneity in weaning practices among ECMO centers due to a variety in local preferences, logistics, case load and individual professional experience. This qualitative study focused on the appraisal of clinicians\u2019 preferences in decision processes towards liberation from VA ECMO after cardiogenic shock while using focus group interviews in 4 large hospitals. The goal was to provide novel and unique insights in daily clinical weaning practices. As expected, we found we a great heterogeneity of weaning strategies among centers and professionals, although participants appeared to find common ground in a clinically straightforward approach to assess the feasibility of ECMO liberation at the bedside. This was shown in a preference for robust, easily accessible parameters such as arterial pulse pressure, stable cardiac index \u22652.1\u00a0L\/min, VTI LVOT and \u2018eyeballing\u2019 LVEF.<\/jats:p>","DOI":"10.1177\/02676591241236643","type":"journal-article","created":{"date-parts":[[2024,4,23]],"date-time":"2024-04-23T05:35:25Z","timestamp":1713850525000},"page":"39S-48S","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Clinical decision making for VA ECMO weaning in patients with cardiogenic shock A formative qualitative study"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7882-9298","authenticated-orcid":false,"given":"J. A. J.","family":"Hermens","sequence":"first","affiliation":[{"name":"Department of Intensive Care Medicine, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. A.","family":"van Til","sequence":"additional","affiliation":[{"name":"Department of Health Technology and Services Research, University of Twente, Enschede, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. L.","family":"Meuwese","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Medicine and Cardiology, Erasmus Medical Centre, Rotterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"van Dijk","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Medicine, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6496-2768","authenticated-orcid":false,"given":"D. W.","family":"Donker","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Medicine, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands"},{"name":"Cardiovascular and Respiratory Physiology, TechMed Centre, University of Twente, Enschede, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,4,23]]},"reference":[{"key":"bibr1-02676591241236643","doi-asserted-by":"publisher","DOI":"10.1016\/j.jchf.2021.05.011"},{"key":"bibr2-02676591241236643","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-011-2358-2"},{"key":"bibr3-02676591241236643","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2013.06.055"},{"key":"bibr4-02676591241236643","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9040992"},{"key":"bibr5-02676591241236643","volume-title":"ECLS Registry report international summary january, 2020","author":"ELSO organization","year":"2020"},{"key":"bibr6-02676591241236643","doi-asserted-by":"publisher","DOI":"10.21037\/acs.2018.08.05"},{"key":"bibr7-02676591241236643","doi-asserted-by":"publisher","DOI":"10.1007\/s40271-019-00401-x"},{"key":"bibr8-02676591241236643","doi-asserted-by":"publisher","DOI":"10.1007\/s40271-022-00575-x"},{"key":"bibr9-02676591241236643","doi-asserted-by":"publisher","DOI":"10.1177\/02676591221115938"},{"key":"bibr10-02676591241236643","doi-asserted-by":"publisher","DOI":"10.53841\/bpsqmip.2022.1.33.46"},{"key":"bibr11-02676591241236643","doi-asserted-by":"publisher","DOI":"10.1177\/0267659118755888"},{"key":"bibr12-02676591241236643","doi-asserted-by":"publisher","DOI":"10.1111\/aor.14527"},{"key":"bibr13-02676591241236643","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2020.10.036"},{"key":"bibr14-02676591241236643","doi-asserted-by":"publisher","DOI":"10.1002\/ehf2.13892"},{"key":"bibr15-02676591241236643","doi-asserted-by":"publisher","DOI":"10.1007\/s00392-021-01838-7"},{"key":"bibr16-02676591241236643","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000001375"},{"key":"bibr17-02676591241236643","first-page":"489","volume":"66","author":"Siriwardena M","year":"2019","journal-title":"Asaio J Am Soc Artif Intern Organs 1992"},{"key":"bibr18-02676591241236643","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2012.02.009"},{"key":"bibr19-02676591241236643","doi-asserted-by":"publisher","DOI":"10.1002\/ehf2.13097"},{"key":"bibr20-02676591241236643","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2017.09.004"},{"key":"bibr21-02676591241236643","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2017.07.739"},{"key":"bibr22-02676591241236643","doi-asserted-by":"publisher","DOI":"10.34197\/ats-scholar.2022-0087PS"},{"key":"bibr23-02676591241236643","doi-asserted-by":"publisher","DOI":"10.1093\/ehjacc\/zuaa027"},{"key":"bibr24-02676591241236643","doi-asserted-by":"publisher","DOI":"10.1016\/j.jchf.2020.08.012"},{"key":"bibr25-02676591241236643","doi-asserted-by":"publisher","DOI":"10.1111\/aor.14006"},{"key":"bibr26-02676591241236643","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-017-1633-1"}],"container-title":["Perfusion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591241236643","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02676591241236643","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591241236643","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:34:18Z","timestamp":1777656858000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02676591241236643"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4]]},"references-count":26,"journal-issue":{"issue":"1_suppl","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1177\/02676591241236643"],"URL":"https:\/\/doi.org\/10.1177\/02676591241236643","relation":{},"ISSN":["0267-6591","1477-111X"],"issn-type":[{"value":"0267-6591","type":"print"},{"value":"1477-111X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4]]}}}