Why the study?
Due to a shortage of perfusionists and increasing ECMO utilization, programs are training nurses as bedside ECMO specialists, but whether a nurse-run program provides noninferior survival and complication rates compared with a perfusionist-run program was unknown.
Does a nurse-run ECMO program maintain noninferior survival to discharge and complication rates compared with a perfusionist-run ECMO program in adult patients requiring ECMO?
Does a nurse-run ECMO program maintain noninferior survival to discharge and complication rates compared with a perfusionist-run ECMO program in adult patients requiring ECMO?
Implementing a nurse-run ECMO program is associated with noninferior survival and complication rates compared to a perfusionist-run model, while significantly reducing costs and expanding institutional ECMO capacity.
Nurse-run ECMO met noninferiority thresholds in this single-center cohort; leaves open broader safety and adoption pending prospective multicenter data.
Due to a shortage of perfusionists and increasing utilization of extracorporeal membrane oxygenation in the United States, many programs are training nurses as bedside extracorporeal membrane oxygenation specialists (i.e., nurse-run extracorporeal membrane oxygenation). Our objective was to evaluate if a nurse-run extracorporeal membrane oxygenation program has noninferior survival to discharge and complication rates compared with a perfusionist-run extracorporeal membrane oxygenation program. Additionally, to sought to describe increases in extracorporeal membrane oxygenation capacity and the potential for cost savings by implementing a nurse-run extracorporeal membrane oxygenation program.
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Odish et al. (2021) studied this question.
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