Abstract 10336: ECPR2: Expert Consensus on PeRcutaneous Cannulation for Extracorporeal CardioPulmonary Resuscitation

• Published in: Circulation (New York, N.Y.) Vol. 144; no. Suppl_2; p. A10336
• Main Authors: Schmitzberger, Florian F, Haas, Nathan L, Coute, Ryan A, Bartos, Jason, Hackmann, Amy E, Haft, Jonathan, Hsu, Cindy H, Hutin, Alice, Lamhaut, Lionel, Marinaro, Jonathan, Nagao, Ken, Nakashima, Takahiro, Neumar, Robert W, Shinar, Zack M, Whitmore, Sage, Yannopoulos, Demetris, Peterson, William
• Format: Journal Article
• Language: English
• Published: Lippincott Williams & Wilkins 16-11-2021
• ISSN: 0009-7322
• DOI: 10.1161/circ.144.suppl_2.10336

IntroductionExtracorporeal cardiopulmonary resuscitation (ECPR) has emerged as a promising resuscitation strategy for select patients suffering out-of-hospital cardiac arrest (OHCA), though limited data exists regarding detailed best practices for the complex process of initiating ECPR following OHCA. HypothesisExpert consensus using a modified Delphi process can systematically identify detailed best practices for ECPR initiation following adult non-traumatic OHCA. MethodsWe utilized a modified Delphi process consisting of two survey rounds and a virtual consensus meeting to systematically identify best practices for ECPR initiation following adult non-traumatic OHCA. A modified Delphi process builds content validity and is an accepted method to develop consensus by eliciting expert opinions through multiple rounds of questionnaires. Consensus was achieved when items reached a high level of agreement, defined as greater than 80% responses for a particular item rated a 4 or 5 on a 5-point Likert scale. ResultsSnowball sampling generated a panel of 14 content experts, composed of physicians from four continents and four primary specialties. Seven existing institutional protocols for ECPR cannulation following OHCA were identified and merged into a single comprehensive list of 216 items. The panel ultimately reached consensus on 95 itemsPrior to Patient Arrival (8 items), Inclusion Criteria (8), Exclusion Criteria (7), Patient Arrival (8), ECPR Cannulation (21), Go On Pump (17), and Post-Cannulation (26). ConclusionWe present a list of essential items for initiation of ECPR following adult non-traumatic OHCA, generated using a modified Delphi process from an international panel of content experts. These findings can benefit centers currently performing ECPR for OHCA in quality assurance and performance improvement, and can serve as a template for new ECPR programs to follow.