Clinical decision support for ExtraCorporeal Membrane Oxygenation: Will we fly by wire?

Author:

Pladet Lara1ORCID,Luijken Kim2,Fresiello Libera3,Miranda Dinis Dos Reis4,Hermens Jeannine A1,Smeden Maarten van2,Cremer Olaf1,Donker Dirk W13ORCID,Meuwese Christiaan L45

Affiliation:

1. Department of Intensive Care Medicine, University Medical Center Utrecht, Utrecht, The Netherlands

2. Department of Epidemiology, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands

3. Cardiovascular and Respiratory Physiology,TechMed Center,University of Twente, Enschede, the Netherlands

4. Department of Intensive Care Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands

5. Department of Cardiology, Thorax Center, Erasmus, Rotterdam, The Netherlands

Abstract

Prognostic modelling techniques have rapidly evolved over the past decade and may greatly benefit patients supported with ExtraCorporeal Membrane Oxygenation (ECMO). Epidemiological and computational physiological approaches aim to provide more accurate predictive assessments of ECMO-related risks and benefits. Implementation of these approaches may produce predictive tools that can improve complex clinical decisions surrounding ECMO allocation and management. This Review describes current applications of prognostic models and elaborates on upcoming directions for their clinical applicability in decision support tools directed at improved allocation and management of ECMO patients. The discussion of these new developments in the field will culminate in a futuristic perspective leaving ourselves and the readers wondering whether we may “ fly ECMO by wire” someday.

Funder

Stichting Gezondheidszorg Spaarneland (SGS) Fund, Zilveren Kruis Achmea

Publisher

SAGE Publications

Subject

Advanced and Specialized Nursing,Cardiology and Cardiovascular Medicine,Safety Research,Radiology, Nuclear Medicine and imaging,General Medicine

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