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Article Dans Une Revue Intensive Care Medicine Experimental Année : 2022

Knowledge gaps and research priorities in adult veno-arterial extracorporeal membrane oxygenation: a scoping review

Senta Jorinde Raasveld
  • Fonction : Auteur
Carolien Volleman
  • Fonction : Auteur
Lars Mikael Broman
  • Fonction : Auteur
Fabio Silvio Taccone
  • Fonction : Auteur
Elma Peters
  • Fonction : Auteur
Sanne ten Berg
  • Fonction : Auteur
Charissa van den Brom
  • Fonction : Auteur
Holger Thiele
  • Fonction : Auteur
Roberto Lorusso
  • Fonction : Auteur
José Henriques
  • Fonction : Auteur
Alexander Vlaar

Résumé

Abstract Purpose This scoping review aims to identify and describe knowledge gaps and research priorities in veno-arterial extracorporeal membrane oxygenation (VA-ECMO). Methods An expert panel was recruited consisting of eight international experts from different backgrounds. First, a list of priority topics was made. Second, the panel developed structured questions using population, intervention, comparison and outcomes (PICO) format. All PICOs were scored and prioritized. For every selected PICO, a structured literature search was performed. Results After an initial list of 49 topics, eight were scored as high-priority. For most of these selected topics, current literature is limited to observational studies, mainly consisting of retrospective cohorts. Only for ECPR and anticoagulation, randomized controlled trials (RCTs) have been performed or are ongoing. Per topic, a summary of the literature is stated including recommendations for further research. Conclusions This scoping review identifies and presents an overview of knowledge gaps and research priorities in VA-ECMO. Current literature is mostly limited to observational studies, although with increasing attention for this patient population, more RCTs are finishing or ongoing. Translational research, from preclinical trials to high-quality or randomized controlled trials, is important to improve the standard practices in this critically ill patient population. Take-home message This scoping review identifies and presents an overview of research gaps and priorities in VA-ECMO. Translational research, from preclinical trials to high-quality or randomized controlled trials, is important to improve the standard practices in this critically ill patient population.

Dates et versions

hal-03995516 , version 1 (18-02-2023)

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Citer

Senta Jorinde Raasveld, Carolien Volleman, Alain Combes, Lars Mikael Broman, Fabio Silvio Taccone, et al.. Knowledge gaps and research priorities in adult veno-arterial extracorporeal membrane oxygenation: a scoping review. Intensive Care Medicine Experimental, 2022, 10 (1), pp.50. ⟨10.1186/s40635-022-00478-z⟩. ⟨hal-03995516⟩
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