Department of Pediatrics, Division of Neonatology, University of Washington School of Medicine and Seattle Children's Hospital, Seattle, WA, USA.
J Perinatol. 2021 Apr;41(4):824-829. doi: 10.1038/s41372-020-00827-4. Epub 2020 Sep 22.
Determine the feasibility, strengths, and barriers of offering extracorporeal membrane oxygenation (ECMO) telerounding to neonatal intensive care unit (NICU) care providers.
NICU providers were invited to join ECMO rounds by teleconference. Data were collected on telerounding participation and ECMO concepts discussed. A survey was sent to all providers.
From March 2018 to February 2020, telerounding on 24 neonatal ECMO patients (168 ECMO days) was performed in a Level IV NICU. A mean of four providers joined telerounds per ECMO day with an increase from 3 to 6 providers over the study period. Nearly all respondents felt telerounding lowered barriers to attending ECMO rounds (94%), promoted engagement (89%), and improved continuity of care (78%). Barriers to ECMO telerounding were suboptimal audio connections and limited ability to participate in the clinical discussion.
ECMO telerounding is well-received by NICU providers. It can improve provider participation, complement existing in-person ECMO rounds, and ECMO education.
确定为新生儿重症监护病房（NICU）医护人员提供体外膜肺氧合（ECMO）远程查房的可行性、优势和障碍。
邀请 NICU 医护人员通过电话会议参加 ECMO 查房。收集远程查房参与情况和讨论的 ECMO 相关概念的数据。向所有提供者发送了一份调查。
2018 年 3 月至 2020 年 2 月，在四级 NICU 对 24 例新生儿 ECMO 患者（168 个 ECMO 天）进行了远程查房。平均每天有 4 名医护人员远程查房，研究期间从 3 名增加到 6 名。几乎所有的受访者都认为远程查房降低了参加 ECMO 查房的障碍（94%），促进了参与度（89%），并提高了护理的连续性（78%）。远程 ECMO 查房的障碍是音频连接不佳和参与临床讨论的能力有限。
ECMO 远程查房受到 NICU 医护人员的欢迎。它可以提高医护人员的参与度，补充现有的 ECMO 查房，并提供 ECMO 教育。
