Starting and Sustaining an Extracorporeal Membrane Oxygenation Program

Archana V. Dhar*, Tracy Morrison, Ryan P. Barbaro, Hergen Buscher, Steven A. Conrad, Rodrigo Diaz, Joseph Deng, W. Cory Ellis, James Fortenberry, Micheal Heard, Robert Hyslop, Dinis Reis Miranda, Mark Ogino, Wai Ching Simon Sin, Bishoy Zakhary, Graeme Maclaren

*Corresponding author for this work

Research output: Contribution to journalReview articleAcademicpeer-review

1 Citation (Scopus)


The use of extracorporeal membrane oxygenation (ECMO) is growing rapidly in all patient populations, especially adults for both acute lung or heart failure. ECMO is a complex, high risk, resource-intense, expensive modality that requires appropriate planning, training, and management for successful outcomes. This article provides an optimal approach and the basic framework for initiating a new ECMO program, which can be tailored to meet local needs. Setting up a new ECMO program and sustaining it requires institutional commitment, physician champions, multidisciplinary team involvement, ongoing training, and education of the ECMO team personnel and a robust quality assurance program to minimize complications and improve outcomes.

Original languageEnglish
Pages (from-to)11-22
Number of pages12
JournalASAIO Journal
Issue number1
Publication statusPublished - 1 Jan 2023

Bibliographical note

Funding Information:
Disclosure: R.P.B. is the Extracorporeal Life Support Organization (ELSO) Registry Chair; he reports grants from National Institute of Health (NIH) R01 HL 153519, R01 HD015434. The other authors have no conflicts of interest to report.

Publisher Copyright:
© ASAIO 2022.


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