| Title | Interprofessional ECMO telerounding: a novel approach to neonatal ECMO clinical participation and education. |
| Author(s) | Brei BK, Gray MM, Umoren R, Handley S, DiGeronimo R, Sawyer T, Smith K, Billimoria Z. |
| Source | J Perinatol., Vol. 41, No. 4, Pages 824-829 |
| ePub | Epub 2020 Sep 22. |
| DOI | doi: 10.1038/s41372-020-00827-4 |
| Publication Date | 4/1/2021 |
| Abstract | Objective: Determine the feasibility, strengths, and barriers of offering extracorporeal membrane oxygenation (ECMO) telerounding to neonatal intensive care unit (NICU) care providers. Study design: 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. Results: 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. Conclusion: ECMO telerounding is well-received by NICU providers. It can improve provider participation, complement existing in-person ECMO rounds, and ECMO education. |