Initial ELSO Guidance Document: ECMO for COVID-19 Patients with Severe Cardiopulmonary Failure

Robert H Bartlett; Mark T Ogino; Daniel Brodie; David M McMullan; Roberto Lorusso; Graeme MacLaren; Christine M Stead; Peter Rycus; John F Fraser; Jan Belohlavek; Leonardo Salazar; Yatin Mehta; Lakshmi Raman; Matthew L Paden

doi:10.1097/MAT.0000000000001173

Initial ELSO Guidance Document: ECMO for COVID-19 Patients with Severe Cardiopulmonary Failure

ASAIO J. 2020 May;66(5):472-474. doi: 10.1097/MAT.0000000000001173.

Authors

Robert H Bartlett¹, Mark T Ogino^{2

3}, Daniel Brodie^{4

5}, David M McMullan⁶, Roberto Lorusso⁷, Graeme MacLaren^{8

9

10}, Christine M Stead¹, Peter Rycus¹, John F Fraser^{11

12}, Jan Belohlavek³, Leonardo Salazar⁴, Yatin Mehta¹³, Lakshmi Raman¹⁴, Matthew L Paden¹⁵

Affiliations

¹ From the Extracorporeal Life Support Organization, Ann Arbor, Michigan.
² Department of Paediatrics, Division of Neonatology, Nemours Alfred I duPont Hospital for Children, Wilmington, Delaware.
³ Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.
⁴ Columbia University College of Physicians and Surgeons, New York, New York.
⁵ Centre for Acute Respiratory Failure, New York-Presbyterian Hospital, New York, New York.
⁶ Division of Cardiothoracic Surgery, Seattle Children's Hospital, Seattle, Washington.
⁷ Department of Cardiothoracic Surgery, Maastricht University Medical Centre, Cardiovascular Research Institute Maastricht, Maastricht, The Netherlands.
⁸ Cardiothoracic Intensive Care Unit, National University Hospital, National University of Singapore, Singapore.
⁹ Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
¹⁰ Paediatric Intensive Care Unit, The Royal Children's Hospital, University of Melbourne, Melbourne, VIC, Australia.
¹¹ Critical Care Research Group, The Prince Charles Hospital, Brisbane, QLD, Australia.
¹² Faculty of Medicine, University of Queensland, Brisbane, Australia.
¹³ Institute of Critical care and Anaesthesiology, Medanta Hospital, New Delhi, India.
¹⁴ Division of Paediatric Critical Care, University of Texas, Southwestern Medical Center, Dallas, Texas.
¹⁵ Division of Paediatric Critical Care, Emory University, Atlanta, Georgia.

Abstract

Disclaimer: ECMO has, and will certainly continue, to play a role in the management of COVID-19 patients. It should be emphasized that this initial guidance is based on the current best evidence for ECMO use during this pandemic. Guidance documents addressing additional portions of ECMO care are currently being assembled for rapid publication and distribution to ECMO centers worldwide.