Lars Mikael Broman1,2,3, Fabio Silvio Taccone4,5, Roberto Lorusso6, Maximilian Valentin Malfertheiner7,5, Federico Pappalardo8,5, Matteo Di Nardo9,5, Mirko Belliato10,5, Melania M Bembea11, Ryan P Barbaro12, Rodrigo Diaz13, Lorenzo Grazioli14, Vincent Pellegrino15, Malaika H Mendonca16, Daniel Brodie17, Eddy Fan18, Robert H Bartlett19, Michael M McMullan20, Steven A Conrad21. 1. ECMO Centre Karolinska, Department of Pediatric Perioperative Medicine and Intensive Care, Karolinska University Hospital, 171 76, Stockholm, Sweden. lars.broman@sll.se. 2. Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden. lars.broman@sll.se. 3. European ECMO Advisory board, Pavia, Italy. lars.broman@sll.se. 4. Department of Intensive Care, Hôpital Erasme, Université Libre de Bruxelles, ULB, Brussels, Belgium. 5. European ECMO Advisory board, Pavia, Italy. 6. Cardio-Thoracic Surgery Department - Heart & Vascular Centre, Maastricht University Medical Hospital, Cardiovascular Research Institute Maastricht (CARIM), Maastricht, Netherlands. 7. Department of Internal Medicine II, Cardiology and Pneumology, University Medical Center Regensburg, Regensburg, Germany. 8. Department of Cardiothoracic Anesthesia and Intensive Care, Advanced Heart Failure and Mechanical Circulatory Support Program, San Raffaele Hospital, Vita Salute University, Milan, Italy. 9. Pediatric Intensive Care Unit, Children's Hospital Bambino Gesù, IRCCS, Rome, Italy. 10. U.O.C. Anestesia e Rianimazione 1, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy. 11. Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA. 12. Department of Pediatrics, University of Michigan, Ann Arbor, MI, USA. 13. Clinica las Condes S.A, Santiago, Chile. 14. Ospedale Papa Giovanni XXIII, Bergamo, Italy. 15. Alfred Hospital, Melbourne, Victoria, Australia. 16. Inselspital, Children's University Hospital, Bern, Switzerland. 17. Department of Medicine, Columbia University College of Physicians and Surgeons/New York-Presbyterian Hospital, New York, NY, USA. 18. Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ontario, Canada. 19. Department of Surgery, University of Michigan, Ann Arbor, MI, USA. 20. Seattle Children's Hospital, Seattle, WA, USA. 21. Louisiana State University Health Sciences Center, Shreveport, LA, USA.
Abstract
BACKGROUND: The Extracorporeal Life Support Organization (ELSO) Maastricht Treaty for Nomenclature in Extracorporeal Life Support (ECLS) established consensus nomenclature and abbreviations for ECLS to ensure accurate, concise communication. METHODS: We build on this consensus nomenclature by layering a framework of precise and efficient abbreviations for cannula configuration that describe flow direction, number of cannulae used, any additional ECLS-related catheters, and cannulation sites. This work is a consensus of international representatives of the ELSO, including those from the North American, Latin American, European, South and West Asian, and Asian-Pacific chapters of ELSO. RESULTS: The classification increases in descriptive capability by introducing a third (cannula tip position) and fourth (cannula dimension) level to those provided in the previous consensus on ECLS cannulation configuration nomenclature. This expansion offers the simplest level needed to convey cannulation information yet allows for more details when required. CONCLUSIONS: A complete nomenclature for ECLS cannulation configurations accommodating future revisions was developed to facilitate ability to compare practices and results, to promote efficient communication, and to improve quality of registry data.
BACKGROUND: The Extracorporeal Life Support Organization (ELSO) Maastricht Treaty for Nomenclature in Extracorporeal Life Support (ECLS) established consensus nomenclature and abbreviations for ECLS to ensure accurate, concise communication. METHODS: We build on this consensus nomenclature by layering a framework of precise and efficient abbreviations for cannula configuration that describe flow direction, number of cannulae used, any additional ECLS-related catheters, and cannulation sites. This work is a consensus of international representatives of the ELSO, including those from the North American, Latin American, European, South and West Asian, and Asian-Pacific chapters of ELSO. RESULTS: The classification increases in descriptive capability by introducing a third (cannula tip position) and fourth (cannula dimension) level to those provided in the previous consensus on ECLS cannulation configuration nomenclature. This expansion offers the simplest level needed to convey cannulation information yet allows for more details when required. CONCLUSIONS: A complete nomenclature for ECLS cannulation configurations accommodating future revisions was developed to facilitate ability to compare practices and results, to promote efficient communication, and to improve quality of registry data.
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