Scoping review of contemporary adult venoarterial extracorporeal membrane oxygenation (VA ECMO) selection criteria and decision-making mechanisms
Amrita K Johal · 2026
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Description
Amrita K Johal reviewed how hospitals pick adults for a last-resort heart and lung machine in a 2026 paper. The machine does the work of the heart and lungs for the sickest patients. It costs a lot, and who gets it shapes who lives. The review found few hospitals use firm written rules for the choice. Most studies on the topic were small and used unlike methods.
One scoring tool stood out as the best guide for most cases. A tweaked version, which adds a blood marker of strain, fit two hard groups better. Teams that decided as a full group, not by one or two doctors, saw better survival. The author calls for more proof tests of the scores. Fair, shared rules, the review argues, would help hospitals choose well.
Catalog record
| CREATOR | Amrita K Johal |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 44680 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |