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Indirect evidence on the impact of CPGs may also be derived from observing temporal trends in practice patterns and outcomes before and after publication of CPGs. A better understanding of when, how, and how completely CPGs are implemented in various practice settings is currently lacking, and more research is needed to address existing hurdles in implementation of CPGs.
Thrombosis in Extracorporeal Membrane Oxygenation (ECMO) Circuits
Examination of ECMO circuits after removal is a useful quality improvement tool that can elucidate the cause of circuit problems, indicate patients at increased risk of thrombosis, and suggest areas for possible improvements.
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In patients with severe cardiopulmonary failure extracorporeal assist devices are to support patients during resuscitation, for transportation, until organ recovery, and as bridge to further therapeutic modalities.
