Work

Cannulation Navigation

Year: 2026

Type: article

Abstract: BACKGROUND: Patients requiring emergency extracorporeal membrane oxygenation (ECMO) support at UNC Health Rex-54% of whom presented with myocardial infarction-faced prolonged and inconsistent transfer times to the UNC Medical Center. PROJECT RATIONALE: A lack of standardized workflow contributed to variable response times, ambiguity around transportation responsibilities, and inefficiencies that could not meet the urgency required for ECMO candidates. PROJECT SUMMARY: This project used registry data to identify gaps, convened a multidisciplinary team to set goals, streamlined communication, revised protocols, optimized workflows, and targeted education to improve early recognition, coordination, and transfer efficiency for ECMO patients. TAKE-HOME MESSAGE: Despite challenges with aligning multiple specialties, changing long-standing habits, and coordinating resources across campuses, the team significantly reduced transfer times and created a sustainable model that strengthened systemwide care for critically ill ECMO patients.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2026.110212

Authors: Wynne Lok, Sandra G. Page, Heather J. Price, Katie A. Rodwell

Institution: University of North Carolina Health Care

Language: English

Topic: Mechanical Circulatory Support Devices

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $850