ECMO Retrieval Program Foundation

Part 1. Scientific, technical and clinical background of extracorporeal membrane oxygenation (ECMO) therapy.- 1. History of Extracorporeal Life Support: From cardio-pulmonary bypass towards ECMO.- 2. Variety and classification of ECMO systems and cannulation strategies.- 3. Is it time to move on? Discrepancies between official Guidelines and real life clinical scenarios.- 4. Left Ventricular (LV) Decompressing and Venting Strategies - The Game Changers in ECMO Support.- 5. ECMOlogy as the new medical discipline - the way towards interdisciplinary approach of ECMO therapy.- Part 2. From zero to hero: matters and challenges of launching an ECMO retrieval program.- 6. Teamwork makes the dream work: creating interdisciplinary synergies among cardiothoracic surgery, cardiology, pulmonology and anaesthesiology.- 7. Financial aspects and negotiations with manufacturers.- 8. Add-on Modules, Quality Assessment Issues and Specific Arrangements inIntensive Care Units (ICU) Sector: Demand of Infrastructure and Staff.- 9. Brainstorming: personnel education and planning stage of the service.- 10. Assign the Parts: Aspects of ECMO Team Building.- 11. Check Lists, Retrieval Protocols and Internal Guidelines.- 12. As little as possible and as much as necessary: supplementary equipment and "ECMO suitcase" for retrieval service.- 13. Do you really need an ECMO coordinator? Strategies to optimize communication.- 14. Round-the-clock operation: trips and tricks to help achieve flexibility and realizability.- Part 3. Specifics of the propaganda machine: how to get referrals and what is the best way to draw attention to the program.- 15. Professional web presence as an indispensible module of the current information dissemination.- 16. Are printed media still holding their own against the electronic competition?.- 17. Show your face: personal introduction and direct communication with referringcolleagues.- 18. Meet the experts: scientific exchange and academic performance through symposiums and peer reviewed publications.- 19. Make you global debut: benefits of joining Extracorporeal Life Support Organization (ELSO).- Part 4. From start to finish: chronological order and safety aspects of ECMO retrievals from local hospitals.- 20. Time is life: optimization of packing up the equipment and organizing outward journey.- 21. On the road: fast and safe transport of the team and equipment.- 22. On-the-spot check: clinical assessment and decision making.- 23. Pearls and pitfalls in ECMO cannulation: practical tips to minimize complications.- 24. Save the leg: game plans for ensuring distal limb perfusion.- 25. Initial management of transported patients after arrival on ICU.- 26. Ins and outs of extracorporeal cardio-pulmonary resuscitation (eCPR) service.- Part 5. Pushing the boundaries: managing out-of-hospital cardiac arrest.- 27. Out-of-hospital cardiac arrest - Achilles' heel in cardiovascular medicine.- 28. In- or out-of-hospital ECMO implantation? Impact of infrastructure, logistic conditions and legal circumstances.- Part 6. Miscellaneous.- 29. Ethical considerations.- 30. From the view of a patient and next of kin.- 31. Future perspectives.

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• Cuidados médicos intensivos
• Medicina cardiovascular
• Medicina respiratória
• Anestesia
• Cirurgia cardiotorácica

extracorporeal life support;severe heart failure;severe lung failure;mechanical circulatory support;cardio-pulmonary bypass;patient transportation;cardiogenic shock