Nursing Roles in Extracorporeal Membrane Oxygenation.

IF 2.5 4区 医学 Q1 NURSING American Journal of Nursing Pub Date : 2024-11-01 Epub Date: 2024-10-24 DOI:10.1097/01.NAJ.0001081100.87718.df
Michelle Parrett, Cassia Yi, Brooke Weaver, Meghan Jones, Marites B Almachar, Judy Davidson, Mazen Odish, Travis Pollema
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Abstract

Abstract: Extracorporeal membrane oxygenation (ECMO) is a type of mechanical circulatory support that is increasingly utilized in the United States for severe respiratory and/or cardiac failure refractory to conventional therapies. It is an expensive and complex life support modality. Moreover, patients on ECMO are critically ill and require a strong multidisciplinary care team. A successful ECMO program involves a trained team consisting of physicians, perfusionists, nurses, and respiratory therapists. This article discusses the multiple roles of ECMO nurses, the various ECMO delivery care models, and the potential cost savings of an RN ECMO specialist staffing model-and introduces the novel role of the ECMO lead.

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护理在体外膜氧合中的作用。
摘要:体外膜氧合(ECMO)是一种机械循环支持,在美国越来越多地被用于常规疗法难治的严重呼吸和/或心脏衰竭。这是一种昂贵而复杂的生命支持方式。此外,使用 ECMO 的患者病情危重,需要一个强大的多学科护理团队。一个成功的 ECMO 项目需要一个训练有素的团队,由医生、灌注师、护士和呼吸治疗师组成。本文讨论了 ECMO 护士的多重角色、各种 ECMO 提供护理模式、护士 ECMO 专家人员配备模式的潜在成本节约,并介绍了 ECMO 领导的新角色。
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来源期刊
CiteScore
1.10
自引率
3.70%
发文量
604
审稿时长
6-12 weeks
期刊介绍: The American Journal of Nursing is the oldest and most honored broad-based nursing journal in the world. Peer reviewed and evidence-based, it is considered the profession’s premier journal. AJN adheres to journalistic standards that require transparency of real and potential conflicts of interests that authors,editors and reviewers may have. It follows publishing standards set by the International Committee of Medical Journal Editors (ICMJE; www.icmje.org), the World Association of Medical Editors (WAME; www.wame.org), and the Committee on Publication Ethics (COPE; http://publicationethics.org/). AJN welcomes submissions of evidence-based clinical application papers and descriptions of best clinical practices, original research and QI reports, case studies, narratives, commentaries, and other manuscripts on a variety of clinical and professional topics. The journal also welcomes submissions for its various departments and columns, including artwork and poetry that is relevant to nursing or health care. Guidelines on writing for specific departments—Art of Nursing, Viewpoint, Policy and Politics, and Reflections—are available at http://AJN.edmgr.com. AJN''s mission is to promote excellence in nursing and health care through the dissemination of evidence-based, peer-reviewed clinical information and original research, discussion of relevant and controversial professional issues, adherence to the standards of journalistic integrity and excellence, and promotion of nursing perspectives to the health care community and the public.
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