Variability in Venovenous Extracorporeal Membrane Oxygenation Candidacy Decision-Making: An International Survey
This study reveals significant variability in VV-ECMO candidacy decision-making processes across international ELSO centers. The observed inconsistencies in contraindications, reliance on clinical judgment, and perceived variability in decisions suggest a need for more standardized, evidence-based approaches to ECMO candidacy determination. Implementing routine review processes and developing more robust guidelines could improve consistency and equity in ECMO allocation.
Authors
- Jonah Rubin (ORCID: https://orcid.org/0000-0002-3252-2095)
- Annette Ilg (ORCID: https://orcid.org/0000-0002-8153-077X)
- Melissa Meeker (ORCID: https://orcid.org/0000-0002-6074-8315)
- Jacqueline M. Kruser (ORCID: https://orcid.org/0000-0003-3258-1869)
- Alison S. Witkin (ORCID: https://orcid.org/0000-0002-4650-2116)
- Eddy Fan (ORCID: https://orcid.org/0000-0002-1210-9914)
- James C. Henderson (ORCID: https://orcid.org/0000-0003-0835-8907)
Institutions
- University of Wisconsin–Madison (US)
- Harvard University (US)
- University of Toronto (CA)
- St Vincent Hospital (US)
- Toronto General Hospital (CA)
- Massachusetts General Hospital (US)
- Center for Practical Bioethics (US)
- Mass General Brigham (US)
Publication Details
- Journal
- Critical Care Medicine
- Published
- 2025-10-15
- DOI
- https://doi.org/10.1097/ccm.0000000000006889
- Citations
- 4
- Primary Topic
- Mechanical Circulatory Support Devices
- Type
- article
- Field-Weighted Citation Impact
- 2.70