ECPR Post Resuscitation Care an International Consensus Statement Via Modified Delphi Approach

The study will be performed using a modified Delphi process with an international expert panel to generate recommendation statements related to the management of patients treated with ECPR and to determine the level of agreement for each statement from the panel as a whole. The following topics will be covered:

Sedation Mechanical ventilation management Oxygen management Carbon dioxide management Haemodynamic management ECMO flow management Mean arterial pressure targets Aortic valve not opening management Left ventricular unloading/venting Complication management Infection prevention Anticoagulation Imaging Prognostication and neuro-prognostication Practical recommendations Organ donation Patient followup

Cannulation will not be covered as this has been covered in other Delphi processes.

Management Consensus is achieved through iterative rounds of survey and revision to the statements until a pre-determined level of agreement is met (>70% agreement).

Part 1: planning and evidence review Series of planning sessions with co-chairs Literature is reviewed/summarized Initial statements will be developed based on evidence and study team expertise