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The perceived barriers and facilitators to implementation of ECMO services in acute hospitals

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Acknowledgements

Carol Hodgson and Dion Stub’s research were supported by National Heart Foundation fellowship. This work was completed with thanks to the International ECMO Network and the Australian and New Zealand Intensive Care Society Clinical Trials Group, The Alfred Hospital VIC, Austin Hospital VIC, Box Hill Hospital VIC, Epworth Richmond Hospital VIC, Fiona Stanley Hospital WA, Flinders Medical Centre SA, Gold Coast University Hospital QLD, John Hunter Hospital NSW, Launceston General Hospital TAS, Liverpool Hospital NSW, Monash Medical Centre VIC, Prince Charles Hospital QLD, Prince of Wales Hospital NSW, Princess Alexandra Hospital QLD, Royal Adelaide Hospital SA, Royal Brisbane and Women’s Hospital QLD, Royal Melbourne Hospital VIC, Royal North Shore Hospital NSW, Royal Prince Alfred Hospital NSW, Sir Charles Gairdner Hospital WA, St. Vincent’s Hospital (Melbourne) VIC, St. Vincent’s Hospital (Sydney) NSW, University Hospital Geelong VIC and Westmead Hospital NSW. The EXCEL Study Investigators: Shannah Anderson, Michael J Bailey (Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Victoria, Australia; University of Melbourne, Parkville, Victoria, Australia), Stephen Bernard (School of Public Health and Preventive Medicine, Monash University; Intensive Care Unit, Alfred Hospital, Melbourne, Victoria, Australia), Jasmin V Board (Intensive Care Unit, Alfred Hospital, Melbourne, Victoria, Australia), Daniel Brodie (Department of Medicine and Center for Acute Respiratory Failure, Columbia University College of Physicians and Surgeons/New York-Presbyterian Hospital, New York, NY, USA), Heidi Buhr (Intensive Care Unit, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia), Aidan JC Burrell (Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Victoria, Australia; Intensive Care Unit, Alfred Hospital, Melbourne, Victoria, Australia), David J Cooper (Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Victoria, Australia; Intensive Care Unit, Alfred Hospital, Melbourne, Victoria, Australia), Eddy Fan (Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ontario, Canada), John F Fraser (University of Queensland, St Lucia, Queensland, Australia; Critical Care Research Group, Adult Intensive Care Service, Prince Charles Hospital, Chermside, Queensland, Australia), David J Gattas (Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ontario, Canada), Alisa M Higgins (Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Victoria, Australia), Ingrid K Hopper (School of Public Health and Preventive Medicine, Monash University), Sue Huckson (Intensive Care Unit, Fiona Stanley Hospital, Murdoch, Western Australia, Australia), Edward Litton (Intensive Care Unit, Fiona Stanley Hospital, Murdoch, Western Australia, Australia), Shay P McGuinness (Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Victoria, Australia; Medical Research Institute of New Zealand, Wellington, New Zealand; Cardiothoracic and Vascular Intensive Care Unit, Auckland City Hospital, Auckland, New Zealand), Priya Nair (Intensive Care Unit, St Vincent’s Hospital, Darlinghurst, New South Wales, Australia), Neil Orford (Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Victoria, Australia; Intensive Care Unit, University Hospital Geelong, Geelong, Victoria, Australia; School of Medicine, Deakin University, Geelong Waurn Ponds, Victoria, Australia), Rachael L Parke (Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Victoria, Australia; Medical Research Institute of New Zealand, Wellington, New Zealand; Cardiothoracic and Vascular Intensive Care Unit, Auckland City Hospital, Auckland, New Zealand; Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand), Vincent A Pellegrino (Intensive Care Unit, Alfred Hospital, Melbourne, Victoria, Australia), David V Pilcher (Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Victoria, Australia; Intensive Care Unit, Alfred Hospital, Melbourne, Victoria, Australia), Benjamin AJ Reddi (Intensive Care Unit, Royal Adelaide Hospital, Adelaide, South Australia, Australia), Dion Stub (School of Public Health and Preventive Medicine, Monash University), Tony Trapani (Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Victoria, Australia), Andrew A Udy (Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Victoria, Australia; Intensive Care Unit, Alfred Hospital, Melbourne, Victoria, Australia), on behalf of the International ECMO Network

Author information

Author notes

  1. Bentley J. Fulcher and Angus J. Nicholson contributed equally to this work.

Authors and Affiliations

  1. Australian and New Zealand Intensive Care Research Centre, Monash University, Level 3, 553 St Kilda Road, Melbourne, VIC, 3004, Australia

    Bentley J. Fulcher, Angus J. Nicholson, Natalie J. Linke & Carol L. Hodgson

  2. School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia

    Danielle Berkovic

  3. Intensive Care Unit, Alfred Hospital, Melbourne, VIC, Australia

    Carol L. Hodgson

Authors
  1. Bentley J. Fulcher
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  2. Angus J. Nicholson
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  3. Natalie J. Linke
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  4. Danielle Berkovic
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  5. Carol L. Hodgson
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Consortia

on behalf of the EXCEL Study Investigators and the International ECMO Network

  • Shannah Anderson
  • , Michael J. Bailey
  • , Stephen Bernard
  • , Jasmin V. Board
  • , Daniel Brodie
  • , Heidi Buhr
  • , Aidan J. C. Burrell
  • , David J. Cooper
  • , Eddy Fan
  • , John F. Fraser
  • , David J. Gattas
  • , Alisa M. Higgins
  • , Ingrid K. Hopper
  • , Sue Huckson
  • , Edward Litton
  • , Shay P. McGuinness
  • , Priya Nair
  • , Neil Orford
  • , Rachael L. Parke
  • , Vincent A Pellegrino
  • , David V. Pilcher
  • , Benjamin A. J. Reddi
  • , Dion Stub
  • , Tony Trapani
  • , Andrew A. Udy
  •  & on behalf of the International ECMO Network

Corresponding author

Correspondence to Carol L. Hodgson.

Ethics declarations

Conflicts of interest

Drs. Hodgson and Stub received a grant from the National Heart Foundation. Dr. Pellegrino received funding from Xenios. Dr. Brodie reports receiving research support from ALung Technologies, personal fees from Baxter, anticipated personal fees from BREETHE, unpaid advising for Hemovent, and he disclosed off-label product use of ECMO. Dr. Fan is supported by a New Investigator Award from the Canadian Institutes of Health Research and has received personal fees from Abbott, ALung Technologies, and MC3 Cardiopulmonary outside the submitted work. The remaining authors have disclosed that they do not have any conflicts of interest.

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The EXCEL Study Investigators members are listed in “Acknowledgements” section.

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Fulcher, B.J., Nicholson, A.J., Linke, N.J. et al. The perceived barriers and facilitators to implementation of ECMO services in acute hospitals. Intensive Care Med 46, 2115–2117 (2020). https://doi.org/10.1007/s00134-020-06187-z

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