New survey: TrainECMO
Participate in our newest survey...
Mortality associated with acute respiratory distress syndrome (ARDS) remains high despite continual improvement in mechanical ventilation and extracorporeal membrane oxygenation (ECMO). Technical simplifications, and its use during the 2009 H1N1 influenza pandemic prompted a sharp increase in the use of ECMO worldwide. Despite the lack of large randomised controlled trials, the survival rate in large volume centres has improved over recent years.
The optimal management of an anticoagulation target and transfusion practice in VV-ECMO patients is still under debate.  Traditionally, the threshold for transfusions of packed red blood cells (PRBC) in ECMO aims to keep haemoglobin values (Hb) in the normal range (12-14 g/dL). More recently, this notion has been challenged by several case series that reported on lower transfusion thresholds and good outcomes. Since blood management practices have evolved over the years, we hypothesise that practices vary widely among ECMO centers.
This survey primarily focuses on the transfusion triggers according to the centre workflow.
Secondly, the questions will focus on the main parameters taken into account in case of uncertainty or if there are other parameters considered to support the decision making process of administering a transfusion.
To take part in this brief survey, kindly click below.
. Fan E, Gattinoni L, Combes A, Schmidt M, Peek G, Brodie D, Muller T, Morelli A, Ranieri VM, Pesenti A, Brochard L, Hodgson C, Van Kiersbilck C, Roch A, Quintel M, Papazian L, (2016) Venovenous extracorporeal membrane oxygenation for acute respiratory failure: A clinical review from an international group of experts. Intensive Care Medicine 42: 712-724<Back to the news list