Evidence map›Paper›PMID 34717602›Full record

ArticleBMC nursing2021

Managing patients on extracorporeal membrane oxygenation support during the COVID-19 pandemic - a proposal for a nursing standard operating procedure.

Mateusz Puslecki, Marek Dabrowski, Konrad Baumgart, Marcin Ligowski, Agata Dabrowska, Piotr Ziemak, Sebastian Stefaniak, Lukasz Szarpak, Tammy Friedrich, Lidia Szlanga and 12 more

Open access · goldAbstract read
In one paragraph

Article in BMC nursing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors at 8 institutions in 3 countries.

Mateusz PusleckiDepartment of Cardiac Surgery and Transplantology, Poznan University of Medical Sciences, Poznan, Poland. mateuszpuslecki@o2.pl.ORCID http://orcid.org/0000-0003-0015-2808
Marek DabrowskiDepartment of Medical Education, Poznan University of Medical Sciences, Poznan, Poland.
Konrad BaumgartDepartment of Cardiac Surgery and Transplantology, Poznan University of Medical Sciences, Poznan, Poland.
Marcin LigowskiDepartment of Cardiac Surgery and Transplantology, Poznan University of Medical Sciences, Poznan, Poland.
Agata DabrowskaDepartment of Medical Rescue, Poznan University of Medical Sciences, Poznan, Poland.
Piotr ZiemakPolish Society of Medical Simulation, Poznan, Poland.
Sebastian StefaniakDepartment of Cardiac Surgery and Transplantology, Poznan University of Medical Sciences, Poznan, Poland.
Lukasz SzarpakSklodowska-Curie Medical Academy, Warsaw, Poland.
Tammy FriedrichMayo Clinic, Rochester, MN, USA.
Lidia SzlangaDepartment of Medical Education, Poznan University of Medical Sciences, Poznan, Poland.
Paulina SkorupaDepartment of Cardioanesthesia and Intensive Care, Medical University of Silesia, Zabrze, Poland.
Aleksandra SteligaChair of Nursing and Medical Rescue, Pomeranian Academy, Slupsk, Poland.
Kazimiera HebelChair of Nursing and Medical Rescue, Pomeranian Academy, Slupsk, Poland.
Blazej AndrejanczykChair of Nursing and Medical Rescue, Pomeranian Academy, Slupsk, Poland.
Malgorzata LadzinskaDepartment of Cardiac Surgery and Transplantology, Poznan University of Medical Sciences, Poznan, Poland.
Magdalena WieczorekPolish Society of Medical Simulation, Poznan, Poland.
Lukasz PusleckiDepartment of International Management, Poznań University of Economics and Business, Poznan, Poland.
Jacek SmerekaDepartment of Medical Rescue, Wroclaw Medical University, Wroclaw, Poland.
Monika TukacsDepartment of Cardiothoracic Intensive Care Unit/Nursing, New York Presbyterian - Columbia University Irving Medical Center, New York, NY, USA.
Justyna SwolDepartment of Respiratory Medicine, Allergology and Sleep Medicine, Intensive Care Unit, University Hospital of Paracelsus Medical University, Nuremberg, Germany.
Marek JemielityDepartment of Cardiac Surgery and Transplantology, Poznan University of Medical Sciences, Poznan, Poland.
Bartlomiej PerekDepartment of Cardiac Surgery and Transplantology, Poznan University of Medical Sciences, Poznan, Poland.
Poznan University of Medical Sciences · PLUniwersytet Pomorski w Słupsku · PLColumbia University Irving Medical Center · USMayo Clinic in Arizona · USMedical University of Silesia · PLParacelsus Medizinische Privatuniversität · DEPoznań University of Economics and Business · PLWroclaw Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExtracorporeal membrane oxygenation (ECMO) is effective in a selected critically ill patient population with promising results in refractory hypoxemia related to the novel coronavirus disease (COVID-19). However, it requires specialized clinicians and resources in advanced technology. Moreover, the COVID-19 remains an ongoing global emergency, and there is no evidence-based practice in preparedness. This article proposes an innovative and optimized nursing care protocol, the Standard Operating Procedure (SOP), that regulates safety and efficiency in using personal protective equipment (PPE) during ECMO-relevant procedures while providing ECMO therapy for patients with COVID-19.

methodsAfter performing a narrative literature search, we developed a high-fidelity translational simulation scenario. It included practicing appropriate donning and doffing PPE during work organization, ECMO-related procedures, and routine daily nursing care and management of ECMO over nine hours. In addition, we held supplementary constructive debrief meetings to consult international expert in the field.

resultsA proposal for nursing standardized operating procedures was created, divided into categories. They included work organization, workload references, competences, infrastructural conditions, cannulation equipment, daily routine nursing care, and procedures during ECMO.

conclusionsHigh-fidelity medical simulation can play an important role in staff training, improvement in previously gained proficiency, and development of optimal SOP for nursing care and management during ECMO in patients with COVID-19. Optimal SOPs may further guide multidisciplinary teams, including intensive care units and interventional departments.

Indexed as

COVID-19ECMOExtracorporeal membrane oxygenationNursingPandemicSimulation

Identifiers

PMID34717602
PMCPMC8556777
OpenAlexW3129794029

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.