Clinical decision support for ExtraCorporeal Membrane Oxygenation: Will we fly by wire?

Lara Pladet, Kim Luijken, Libera Fresiello, Dinis Dos Reis Miranda, Jeannine A Hermens, Maarten van Smeden, Olaf Cremer, Dirk W Donker, Christiaan L Meuwese*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

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Abstract

Prognostic modelling techniques have rapidly evolved over the past decade and may greatly benefit patients supported with ExtraCorporeal Membrane Oxygenation (ECMO). Epidemiological and computational physiological approaches aim to provide more accurate predictive assessments of ECMO-related risks and benefits. Implementation of these approaches may produce predictive tools that can improve complex clinical decisions surrounding ECMO allocation and management. This Review describes current applications of prognostic models and elaborates on upcoming directions for their clinical applicability in decision support tools directed at improved allocation and management of ECMO patients. The discussion of these new developments in the field will culminate in a futuristic perspective leaving ourselves and the readers wondering whether we may " fly ECMO by wire" someday.

Original languageEnglish
Pages (from-to)68-81
Number of pages14
JournalPerfusion
Volume38
Issue number1_suppl
Early online date20 Apr 2023
DOIs
Publication statusPublished - May 2023

Keywords

  • digital twin
  • ECLS
  • epidemiological- and computational modeling
  • extracorporeal life support
  • Extracorporeal membrane oxygenation
  • fly by wire systems
  • prognostic models

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