ECMO Circuit Related Incidents

Page1 / 1

100% of survey complete.

Question Title

* 1. Which incidence of the following ECMO-circuit related complications do you experience in your center?

	Never (0%)	Rarely (<5%)	Sometimes (5-25%)	Often (25-50%)	Very often (>50%)
Air in ECMO circuit	Air in ECMO circuit Never (0%)	Air in ECMO circuit Rarely (<5%)	Air in ECMO circuit Sometimes (5-25%)	Air in ECMO circuit Often (25-50%)	Air in ECMO circuit Very often (>50%)
Air embolism in patient	Air embolism in patient Never (0%)	Air embolism in patient Rarely (<5%)	Air embolism in patient Sometimes (5-25%)	Air embolism in patient Often (25-50%)	Air embolism in patient Very often (>50%)
Clot in ECMO circuit	Clot in ECMO circuit Never (0%)	Clot in ECMO circuit Rarely (<5%)	Clot in ECMO circuit Sometimes (5-25%)	Clot in ECMO circuit Often (25-50%)	Clot in ECMO circuit Very often (>50%)
Hemolysis (>20mg/dl)	Hemolysis (>20mg/dl) Never (0%)	Hemolysis (>20mg/dl) Rarely (<5%)	Hemolysis (>20mg/dl) Sometimes (5-25%)	Hemolysis (>20mg/dl) Often (25-50%)	Hemolysis (>20mg/dl) Very often (>50%)
Excessive negative drainage pressures	Excessive negative drainage pressures Never (0%)	Excessive negative drainage pressures Rarely (<5%)	Excessive negative drainage pressures Sometimes (5-25%)	Excessive negative drainage pressures Often (25-50%)	Excessive negative drainage pressures Very often (>50%)
Excessive positive circuit pressures	Excessive positive circuit pressures Never (0%)	Excessive positive circuit pressures Rarely (<5%)	Excessive positive circuit pressures Sometimes (5-25%)	Excessive positive circuit pressures Often (25-50%)	Excessive positive circuit pressures Very often (>50%)
Pump failure (noise, clot, sudden pumpstop)	Pump failure (noise, clot, sudden pumpstop) Never (0%)	Pump failure (noise, clot, sudden pumpstop) Rarely (<5%)	Pump failure (noise, clot, sudden pumpstop) Sometimes (5-25%)	Pump failure (noise, clot, sudden pumpstop) Often (25-50%)	Pump failure (noise, clot, sudden pumpstop) Very often (>50%)
Oxygenator failure (blood leakage, plasma leakage, failing gas transfer, clot)	Oxygenator failure (blood leakage, plasma leakage, failing gas transfer, clot) Never (0%)	Oxygenator failure (blood leakage, plasma leakage, failing gas transfer, clot) Rarely (<5%)	Oxygenator failure (blood leakage, plasma leakage, failing gas transfer, clot) Sometimes (5-25%)	Oxygenator failure (blood leakage, plasma leakage, failing gas transfer, clot) Often (25-50%)	Oxygenator failure (blood leakage, plasma leakage, failing gas transfer, clot) Very often (>50%)
Heat exchanger failure	Heat exchanger failure Never (0%)	Heat exchanger failure Rarely (<5%)	Heat exchanger failure Sometimes (5-25%)	Heat exchanger failure Often (25-50%)	Heat exchanger failure Very often (>50%)
Tubing rupture	Tubing rupture Never (0%)	Tubing rupture Rarely (<5%)	Tubing rupture Sometimes (5-25%)	Tubing rupture Often (25-50%)	Tubing rupture Very often (>50%)
Disconnection (canula, connectors, 3-way stopcock)	Disconnection (canula, connectors, 3-way stopcock) Never (0%)	Disconnection (canula, connectors, 3-way stopcock) Rarely (<5%)	Disconnection (canula, connectors, 3-way stopcock) Sometimes (5-25%)	Disconnection (canula, connectors, 3-way stopcock) Often (25-50%)	Disconnection (canula, connectors, 3-way stopcock) Very often (>50%)
Electrical pump drive failure	Electrical pump drive failure Never (0%)	Electrical pump drive failure Rarely (<5%)	Electrical pump drive failure Sometimes (5-25%)	Electrical pump drive failure Often (25-50%)	Electrical pump drive failure Very often (>50%)
Pump interface or console failure	Pump interface or console failure Never (0%)	Pump interface or console failure Rarely (<5%)	Pump interface or console failure Sometimes (5-25%)	Pump interface or console failure Often (25-50%)	Pump interface or console failure Very often (>50%)
Gas supply failure	Gas supply failure Never (0%)	Gas supply failure Rarely (<5%)	Gas supply failure Sometimes (5-25%)	Gas supply failure Often (25-50%)	Gas supply failure Very often (>50%)
Battery failure	Battery failure Never (0%)	Battery failure Rarely (<5%)	Battery failure Sometimes (5-25%)	Battery failure Often (25-50%)	Battery failure Very often (>50%)

Question Title

* 2. What is the incidence of ECMO-circuit related incidents requiring IMMEDIATE action in your center?

Never

1-5% of the ECMO runs

5-25% of the ECMO runs

25-50% of the ECMO runs

More than 50% of the ECMO runs

Question Title

* 3. Which of the following ECMO-circuit components have been acutely or completely failing, requiring immediate change-out? Which of them have been gradually failing, requiring planned change-out?

	Required change-out
Pump	Pump Required change-out menu
Oxygenator	Oxygenator Required change-out menu
Canula	Canula Required change-out menu
Tubing, connectors, probes	Tubing, connectors, probes Required change-out menu
ECMO hardware (pump drive, console)	ECMO hardware (pump drive, console) Required change-out menu

Other (please specify)

Question Title

* 4. Which of the following blood pumps which you use in you center have been failing, requiring urgent/immediate and/or planned/elective change-out?

	URGENT/IMMEDIATE change-out	ELECTIVE/PLANNED change-out
Roller pump	Roller pump URGENT/IMMEDIATE change-out menu	Roller pump ELECTIVE/PLANNED change-out menu
Medtronic Biomedicus CP BP80	Medtronic Biomedicus CP BP80 URGENT/IMMEDIATE change-out menu	Medtronic Biomedicus CP BP80 ELECTIVE/PLANNED change-out menu
Medtronic Biomedicus CP BP50	Medtronic Biomedicus CP BP50 URGENT/IMMEDIATE change-out menu	Medtronic Biomedicus CP BP50 ELECTIVE/PLANNED change-out menu
Medtronic Affinity CP	Medtronic Affinity CP URGENT/IMMEDIATE change-out menu	Medtronic Affinity CP ELECTIVE/PLANNED change-out menu
Maquet Rotaflo CP	Maquet Rotaflo CP URGENT/IMMEDIATE change-out menu	Maquet Rotaflo CP ELECTIVE/PLANNED change-out menu
Sorin Revolution CP	Sorin Revolution CP URGENT/IMMEDIATE change-out menu	Sorin Revolution CP ELECTIVE/PLANNED change-out menu
Medos DP3	Medos DP3 URGENT/IMMEDIATE change-out menu	Medos DP3 ELECTIVE/PLANNED change-out menu
Cardiohelp Maquet CP	Cardiohelp Maquet CP URGENT/IMMEDIATE change-out menu	Cardiohelp Maquet CP ELECTIVE/PLANNED change-out menu
Levitronix Centrimag	Levitronix Centrimag URGENT/IMMEDIATE change-out menu	Levitronix Centrimag ELECTIVE/PLANNED change-out menu
Levitronix Pedivas	Levitronix Pedivas URGENT/IMMEDIATE change-out menu	Levitronix Pedivas ELECTIVE/PLANNED change-out menu

Other (please specify)

Question Title

* 5. Could some of urgent ECMO-circuit component failures been prevented by more adequate or more regular bedside monitoring?

yes

Please explain

Question Title

* 6. Who is responsible for URGENT circuit component (pump, oxygenator) change-out?

Perfusionist

ICU nurse

Physician

Other (please specify)

Question Title

* 7. In case of acute circuit related incidents, how long does it take before corrective action can be taken?

Those responsible for major circuit troubleshooting are 24/24 bedside, so immediate action can be taken

Those responsible for major circuit troubleshooting are always standby in the hospital and can arrive within a reasonable timespan (5-10min)

Those responsible for the circuit are not always standby in the hospital, so during nighttime/weekend this might take more than 20'

Other (please specify)

Question Title

* 8. Which action is currently expected from the bedside nurse in case of immediate circuit breakdown?

To clamp the circuit tubing

To clamp the vent line if present

To flush the circuit with cristalloids

To add heparin to the circuit

To use handcrank or back-up motor in case of pump break down

To exchange failing components (pump, oxygenator)

To take care of the patient and wait for perfusionist

Other (please specify)

Question Title

* 9. Would it be recommended

To train and allow the bedside nurse to exchange circuit components

To train and allow the bedside nurse to handcrank or use back-up motor

To train and allow the nurses to remove micro air out of the circuit (via oxygenator bubble trap)

To train and allow the nurses to remove massive air out of the circuit

To allow the bedside nurse in any major circuit related problem to only clamp off the ECMO circuit, support the patient and wait for perfusionist to arrive

To have a perfusionist nearby 24/24

To provide a bedside protocol for all urgent circuit related complications

Question Title

* 10. Would you say you have more circuit related complications in

Adults circuits

Pediatric circuits

VV ECMO

VA ECMO

No significant differences

Question Title

* 11. Have you ever experienced a circuit related incident leading to the death or severe disability in a patient?

Yes

Question Title

* 12. Do you report major ECMO-circuit related incidents?

No official report of the event

Only report in patient file

Only report in case of deadly accident

Feedback to the industry in case of failing component

Reporting to other ECMO centers or ECMO community

Question Title

* 13. Would it be useful to have a ECMO Incident Reporting System to communicate which incidents happen, how often they happen and which specific devices/components are failing ?

yes

Comments/suggestions

Question Title

* 14. Address

City/Town

Country