Clinical Evidence

Standards & Guidelines

ELSO Guidelines for Early Mobilization of Patients on ECMO

2025

Early rehabilitation or mobilization of critically ill patients is recommended by several professional societies.1–7 This may be due to the perceived benefits of early rehabilitation or mobilization such as reduced intensive care unit (ICU)-acquired weakness (ICU-AW)
SSH Guidelines for Simulation Training

2024

Simulation is being used for the training of healthcare workers in many settings and to address a variety of clinical issues. Available evidence suggests that performance improvements as a result of simulation training
AmSECT Standards and Guidelines Mechanical Circulatory Support

2024

The American Society of ExtraCorporeal Technology (AmSECT) has created the following document based on clinical evidence and currently accepted perfusion practices. Perfusionists are the only allied healthcare professionals formally trained and educated
Guidelines for Simulation-Based Team Training

2024

Changing the conversation: impact of guidelines designed to optimize interprofessional facilitation of simulationbased team training
SSH Global Consenus Statement on Simulation-Based Practice in HC

2024

Simulation plays a pivotal role in addressing universal healthcare challenges, reducing education inequities, and improving mortality, morbidity and patient experiences. It enhances healthcare processes and systems
2024 EACTS-EACTAIC-EBCP CPB Guidelines

2024

2024 EACTS/EACTAIC/EBCP Guidelines on cardiopulmonary bypass in adult cardiac surgery
ELSO Neurological Monitoring for Adult Patients on ECMO Guidelines

2024

Background: Critical care of patients on extracorporeal membrane oxygenation (ECMO) with acute brain injury (ABI) is notable for a lack of high-quality clinical evidence. Here, we offer guidelines for neurological care (neurological monitoring and management)
AmSECT Standards and Guidelines Perfusion Practice

February 2023

The American Society of ExtraCorporeal Technology (AmSECT) has created the following document based on clinical evidence and currently accepted perfusion practices. Perfusionists are the only allied healthcare professionals formally trained and educated
ESICM Guidelines on Respiratory Distress Syndrome

2023

ESICM guidelines on acute respiratory distress syndrome: defnition, phenotyping and respiratory support strategies
European Guidelines for CPB Adult Cardiac Surgery

2023

Mastering the Best Practices: A Comprehensive Look at the European Guidelines for Cardiopulmonary Bypass in Adult Cardiac Surgery
Training Guidelines from 3rd SSH HC Reach Summit

January 2023

Healthcare Simulation Training Guidelines and Literature Reviews From the Third Society for Simulation in Healthcare Research Summit
ELSO Neonatal and Pediatric Patient on ECMO Neuromonitoring Guidelines

2023

Neurologic injury is a major contributor to morbidity and mortality in children on extracorporeal membrane oxygenation (ECMO) support. The incidence of neurologic complications in neonates and children on ECMO
ELSO Anticoagulation Guidelines

2022

Anticoagulation is necessary for most pediatric and adult extracorporeal membrane oxygenation (ECMO) patients to prevent circuit clotting.
ELSO ECMO Circuit Guidelines

2022

The extracorporeal membrane oxygenation (ECMO) circuit is composed of three main components including a pump, oxygenator, and heat exchanger
ELSO Guidelines for Transporting Patients with ECMO Support

2022

As the indications for extracorporeal membrane oxygenation (ECMO) exponentially expand, transportation of patients on ECMO support or the rescue of patients at outside facilities with ECMO implantation adds an additional degree of complexity to the already
ELSO Guidelines for Fluid Overload

2022

The Extracorporeal Life Support Organization (ELSO) Guidelines for Fluid and Electrolyte Management have been written to present a consensus for the clinical care of neonatal, pediatric, and adult patients supported with extracorporeal membrane oxygenation (ECMO)
ELSO Adult Cardiac VA ECMO Guidelines

2021

Over the past decade, the use of extracorporeal membrane oxygenation (ECMO) has increased exponentially, from approximately 30–40 patients per year in the United States 20 years ago, to over 2,000 per year currently, and rising.
ELSO Adult ECPR Guidelines

2021

Extracorporeal cardiopulmonary resuscitation (ECPR) is the application of extracorporeal membrane oxygenation (ECMO) in patients where conventional cardiopulmonary resuscitation (CCPR) measures are unsuccessful in achieving a sustained return of spontaneous circulation (ROSC)
ELSO Adult Respiratory VV ECMO Guidelines

2021

The use of venovenous extracorporeal membrane oxygenation (VV ECMO) among adults is rapidly increasing worldwide. By 2020, the Extracorporeal Life Support Organization (ELSO) Registry had recorded >24,000 cases of adult respiratory ECMO
ELSO Pediatric Cardiac Guidelines

2021

This guideline is informed by available evidence and based on expert opinion, with targeted clinical recommendations for emerging centers and small volume programs as institutional standards are developed.
ELSO Pediatric ECPR Guidelines

2021

Survival rates with good neurologic outcomes following conventional cardiopulmonary resuscitation (CPR) for cardiopulmonary arrest, either in the in-hospital (IH) or out-of-hospital settings
ELSO 2020 Guidelines for Pediatric Respiratory ECMO Support

2020

Extracorporeal membrane oxygenation (ECMO) should be considered in patients in whom a reversible pathology is known or suspected, and in whom providing ECMO poses less risks than not providing extracorporeal support
ELSO Guidelines for Neonatal Respiratory Support

2020

This guideline describes prolonged extracorporeal life support (ECLS), applicable to newborn infants with respiratory failure. These guidelines address technology and patient management during ECMO.
CAAHEP Standards and Guidelines Perfusion Education

2019

The Commission on Accreditation of Allied Health Education Programs (CAAHEP) accredits programs upon the recommendation of the Accreditation Committee – Perfusion Education (AC-PE).
AmSECT Standards and Guidelines Pediactric and Congenital Perfusion Practice

May 2019

The American Society of ExtraCorporeal Technology (AmSECT) has created the following document based on clinical evidence and currently accepted perfusion practices
SSH Healthcare Simulationists Code-of-Ethics

January 2018

Members of this working group hailed from countries across six continents and brought expertise from a breadth of professions and simulation practices
ELSO General Guidelines for ECLS

August 2017

This guideline describes prolonged extracorporeal life support (ECLS, ECMO), applicable to patients of any age with cardiac or respiratory failure. Related guidelines with more specific discussion for categories of patients follow the same outline.
ELSO ECMO Center Guidelines

March 2014

These guidelines developed by the Extracorporeal Life Support Organization, outline the ideal institutional requirements needed for effective use of extracorporeal membrane oxygenation (ECMO).
ELSO ECMO Specialist CEU and Training Guidelines

February 2010

The "ELSO Guidelines for Training and Continuing Education of ECMO Specialists" is a document developed by the Extracorporeal Life Support Organization (ELSO) as a reference for current and future ECMO centers.
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