41: Pediatric Extra Corporeal Membrane Oxygenation (ECMO) Practice & Challenges in Saudi Arabia & Gulf Cooperation Council (GCC) Countries

Introduction: While ECMO is recognized as life-saving intervention, we believe its implementation in the region is hampered by a shortage of specialized personnel. Despite ECMO’s global growth, especially during the COVID-19 pandemic, ECMO centers in the Southwest Asia and Africa region, particularly for pediatrics, remain limited. This study surveys the current state of pediatric ECMO in Saudi Arabia and GCC countries, highlighting variability in practice, challenges, and the potential for expansion. Method: Cross-sectional survey was distributed to healthcare professionals across Saudi Arabia and GCC countries using SurveyMonkey. Recruitment occurred via a scientific webinar and social media platforms. The survey included closed questions to minimize response bias and covered four domains: demographic information, ICU settings, ECMO practices, and perceived challenges Results: A total of 254 responses were collected, with 82% from Saudi Arabia. Of the respondents, 54% reported having ECMO services in their centers, with 64% working in government hospitals. Most units admit over 300 patients annually, primarily for respiratory failure. Variable practices reported in pediatric ECMO Cannulation and management. Challenges include shortages of trained personnel, logistics, and infrastructure. Conclusion: This survey reveals the key barriers to expanding ECMO services—human resources, logistical challenges, and training. Findings underscore the need for enhanced ECMO training and systemic support for successful program initiation and development.