Organ support & nutrition

Definition and management of right ventricular injury in adult patients receiving extracorporeal membrane oxygenation for respiratory support using the Delphi method: a PRORVnet study. Expert position statements

Intensive Care MedPublished Delphi consensus study

Methodological detailsExpert position statements, systematic literature search, international expert panel, four Delphi rounds, Consensus: ≥70% Experts agreed/disagreed on a Likert-scale statement or ≥80% agreed on a multiple-choice option, Consensus achieved on 31 (89%) of 35 statements; 24 Expert position statements derived
  • Expert position statements
  • Systematic literature search
  • International expert panel
  • Four Delphi rounds
  • Consensus: ≥70% Experts agreed/disagreed on a Likert-scale statement or ≥80% agreed on a multiple-choice option
  • Consensus achieved on 31 (89%) of 35 statements; 24 Expert position statements derived

Recommendations

As issued by the authors

  1. Right ventricular injury (RVI) nomenclature in the setting of veno-venous extracorporeal membrane oxygenation (VV-ECMO)

  2. Multi-modal diagnostic approach to RVI

  3. Timing and parameters of diagnostic echocardiography

  4. VV-ECMO settings during RVI assessment and management

  5. No consensus on right ventricle (RV)-protective driving pressure thresholds or the effect of prone positioning on patient-centric outcomes

Original publication

Definition and management of right ventricular injury in adult patients receiving extracorporeal membrane oxygenation for respiratory support using the Delphi method: a PRORVnet study. Expert position statements. Intensive Care Med. Published 5 August 2024. doi:10.1007/s00134-024-07551-z

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