{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T16:32:09Z","timestamp":1787243529533,"version":"build-2736575974"},"reference-count":29,"publisher":"SAGE Publications","issue":"1_suppl","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"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":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Extracorporeal Life Support (ECLS) services are characterised by variability in resource availability, specific expertise, device management and team organisation, especially regarding the role of perfusionists. This international survey aimed to investigate perfusionists\u2019 education, training and role within the ECLS team.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This is a descriptive, self-reporting, cross-sectional, voluntary, confidential international survey addressed to professionals involved in ECLS management, including perfusionists. The survey was distributed from April to August 2025 through congress, newsletter and social media platforms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 178 ECLS centres submitted completed surveys. Most centres provided both cardiac and respiratory support (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 153, 86%) for over 10\u00a0years (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 117, 65.2%). Perfusionists, mainly holding a bachelor\u2019s degree (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 77, 47.5%), were reported to be responsible for ECLS device in 87.1% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 155) of centres, including priming (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 156, 87.6%), setting management (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 123, 69.1%), circuit\/membrane lung replacement (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 151, 84%) and running the emergency hand-crank (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 133, 74.7%); though roles were often shared with multidisciplinary teams. Perfusionists were reported as part of retrievals\/transports teams by 81.5% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 145) of responders. Education practices were reported as heterogeneous, with limited periodic ECLS-specific training programs (monthly:\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 19, 10.7%; every 6\u00a0months:\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 48, 27%; yearly:\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 31, 17.4%; no continuous education provided:\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 55, 30.9%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This international survey revealed marked variability in perfusionist education, training and roles within the ECLS teams, and related organization. Despite their technical responsibilities, a growing multidisciplinary collaboration is reshaping team dynamics. The absence of a standardized education remains a critical gap, requiring appropriate actions and planning by professional and scientific societies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02676591261430620","type":"journal-article","created":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T06:30:36Z","timestamp":1778049036000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["The role of the perfusionist in the extracorporeal life support management: An international survey"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-6624-3748","authenticated-orcid":false,"given":"Cristina","family":"Scoppa","sequence":"first","affiliation":[{"name":"Fondazione IRCCS San Gerardo dei Tintori"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Desiree","family":"Toscano","sequence":"additional","affiliation":[{"name":"Fondazione IRCCS San Gerardo dei Tintori"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Cristina","family":"Costa","sequence":"additional","affiliation":[{"name":"Fondazione IRCCS San Gerardo dei Tintori"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9775-2836","authenticated-orcid":false,"given":"Leen","family":"Vercaemst","sequence":"additional","affiliation":[{"name":"University Hospital Leuven"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4992-7256","authenticated-orcid":false,"given":"Gerdy","family":"Debeuckelaere","sequence":"additional","affiliation":[{"name":"Antwerp University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta Velia","family":"Antonini","sequence":"additional","affiliation":[{"name":"University of Bologna"},{"name":"Bufalini Hospital - AUSL della Romagna"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Marchetto","sequence":"additional","affiliation":[{"name":"Fondazione IRCCS San Gerardo dei Tintori"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirko","family":"Belliato","sequence":"additional","affiliation":[{"name":"Fondazione IRCCS Policlinico San Matteo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1777-2045","authenticated-orcid":false,"given":"Roberto","family":"Lorusso","sequence":"additional","affiliation":[{"name":"Maastricht University Medical Centre"},{"name":"University of Maastricht"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2903-092X","authenticated-orcid":false,"given":"Justyna","family":"Swol","sequence":"additional","affiliation":[{"name":"University of Maastricht"},{"name":"Paracelsus Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2238-1399","authenticated-orcid":false,"given":"Silvia","family":"Mariani","sequence":"additional","affiliation":[{"name":"Fondazione IRCCS San Gerardo dei Tintori"},{"name":"University of Maastricht"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,5]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000001510"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)61069-2"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(24)00369-2"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(22)00403-9"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)32008-0"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.202111-2661CP"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.1535"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/aor.14601"},{"key":"e_1_3_6_10_2","first-page":"18","article-title":"European perfusionists in ECLS\/ECMO: roles and responsabilities","volume":"16","author":"Vercaemst L","year":"2016","unstructured":"Vercaemst L. 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