Clinician Perspectives on the Extracorporeal Membrane Oxygenation Decision-Making Process - PubMed
4 hours ago
- #ECMO
- #clinical decision-making
- #respiratory failure
- Clinician perspectives on VV ECMO decision-making highlight variability in candidacy selection.
- VV ECMO is used for severe refractory respiratory failure, but lacks standardized indications.
- Study involved 24 clinicians (21 physicians, 3 coordinators) from 9 countries.
- Five main themes identified: variable interpretation of patient factors, flexible contraindications, cognitive biases, institutional/cultural influences, and suggestions for consistency.
- Decisions are often based on clinical judgment rather than objective guidelines, leading to potential inequities.