The ELSO Maastricht Treaty for ECLS Nomenclature: abbreviations for cannulation configuration in extracorporeal life support - a position paper of the Extracorporeal Life Support Organization
Lars Mikael Broman,
Fabio Silvio Taccone,
Roberto Lorusso,
Maximilian Valentin Malfertheiner,
Federico Pappalardo,
Matteo Di Nardo,
Mirko Belliato,
Melania M. Bembea,
Ryan P. Barbaro,
Rodrigo Diaz,
Lorenzo Grazioli,
Vincent Pellegrino,
Malaika H. Mendonca,
Daniel Brodie,
Eddy Fan,
Robert H. Bartlett,
Michael M. McMullan,
Steven A. Conrad
Affiliations
Lars Mikael Broman
ECMO Centre Karolinska, Department of Pediatric Perioperative Medicine and Intensive Care, Karolinska University Hospital
Fabio Silvio Taccone
Department of Intensive Care, Hôpital Erasme, Université Libre de Bruxelles, ULB
Roberto Lorusso
Cardio-Thoracic Surgery Department - Heart & Vascular Centre, Maastricht University Medical Hospital, Cardiovascular Research Institute Maastricht (CARIM)
Maximilian Valentin Malfertheiner
Department of Internal Medicine II, Cardiology and Pneumology, University Medical Center Regensburg
Federico Pappalardo
Department of Cardiothoracic Anesthesia and Intensive Care, Advanced Heart Failure and Mechanical Circulatory Support Program, San Raffaele Hospital, Vita Salute University
Matteo Di Nardo
Pediatric Intensive Care Unit, Children’s Hospital Bambino Gesù, IRCCS
Mirko Belliato
U.O.C. Anestesia e Rianimazione 1, Fondazione IRCCS Policlinico San Matteo
Melania M. Bembea
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine
Ryan P. Barbaro
Department of Pediatrics, University of Michigan
Rodrigo Diaz
Clinica las Condes S.A
Lorenzo Grazioli
Ospedale Papa Giovanni XXIII
Vincent Pellegrino
Alfred Hospital
Malaika H. Mendonca
Inselspital, Children’s University Hospital
Daniel Brodie
Department of Medicine, Columbia University College of Physicians and Surgeons/New York-Presbyterian Hospital
Eddy Fan
Interdepartmental Division of Critical Care Medicine, University of Toronto
Abstract Background The Extracorporeal Life Support Organization (ELSO) Maastricht Treaty for Nomenclature in Extracorporeal Life Support (ECLS) established consensus nomenclature and abbreviations for ECLS to ensure accurate, concise communication. Methods We build on this consensus nomenclature by layering a framework of precise and efficient abbreviations for cannula configuration that describe flow direction, number of cannulae used, any additional ECLS-related catheters, and cannulation sites. This work is a consensus of international representatives of the ELSO, including those from the North American, Latin American, European, South and West Asian, and Asian-Pacific chapters of ELSO. Results The classification increases in descriptive capability by introducing a third (cannula tip position) and fourth (cannula dimension) level to those provided in the previous consensus on ECLS cannulation configuration nomenclature. This expansion offers the simplest level needed to convey cannulation information yet allows for more details when required. Conclusions A complete nomenclature for ECLS cannulation configurations accommodating future revisions was developed to facilitate ability to compare practices and results, to promote efficient communication, and to improve quality of registry data.
