ECMO patients at NewYork-Presbyterian are cared for by a multidisciplinary team specifically trained in the treatment of advanced respiratory and cardiac failure, with extensive experience in ECMO. Our multidisciplinary team cares for the patient beyond their treatment with ECMO and includes post-ECMO outpatient follow-up.
Our nurses provide care to patients under instruction of our physicians and nurse practitioners.
Our nurse practitioners manage overall clinical care for all Medical ICU patients, in collaboration with our multidisciplinary teams.
ICU Attending Physicians
Our ICU attending physicians are trained in pulmonary and critical care medicine and are responsible for the care of all of our patients in the Medical ICU.
ECMO Attending Physicians
Our ECMO attending physicians are trained in pulmonary and critical care and specialize in ECMO. Along with the surgical attending and medical ICU attending, the medical ECMO attending evaluates new ECMO patients and participates in the management of our patients being treated with ECMO.
One of our cardiothoracic surgeons performs the surgical procedure to initiate ECMO support and daily ECMO management with medical ECMO attending and perfusionists.
Surgical Fellows and Residents
Our surgical fellows or residents will assist the cardiothoracic surgeon in the initiation of ECMO and its daily management.
Our perfusionists initiate, manage, and troubleshoot the ECMO circuit to maintain proper physiological patient parameters.
Our respiratory therapists initiate and maintain breathing support if a patient is supported with mechanical ventilation.
Our social workers provide psychosocial assessment, supportive counseling and crisis intervention to the patient’s family in relation to their ICU admission and need for ECMO intervention. They coordinate additional ancillary support services for our patients and families. They work with the clinical team and the patient’s family to coordinate discharge from hospital and placement at appropriate level of care (rehabilitation, long term acute care, home, home with services) upon discharge.
Our care coordinator develops collaborative relationships with attending physicians, house staff, nursing and members of the interdisciplinary team to promote safe, quality care. They coordinate activities of the interdisciplinary team members focusing on effective management of the patient's care from admission through discharge. Social workers are responsible for reviewing the progress of defined length of stay targets and identifying barriers for action by the interdisciplinary team.
Our physical therapists work to overcome and prevent the weakness and deconditioning that is associated with critical illness. They work with patients on activities such as sitting, standing, walking and climbing stairs.
Our occupational therapists address the patient’s ability to function as independently as possible in their daily lives. This includes performing daily self-care such as dressing, eating, oral care, and toileting.
Speech Therapists/Speech-language Pathologists
Our speech therapists/speech-language pathologists evaluate/treat communication and swallowing disorders as a result of injury or illness including post extubation, tracheostomy and delirium. They utilize Fiberoptic Endoscopic Evaluation of Swallowing and Modified Barium Swallow Studies to objectively assess swallowing and determine a safe diet texture. The passy muir speaking valve is used to increase communication/swallowing as able with our tracheostomy patients. They work with the patient, so they will be able resume functional abilities in the areas of communication and swallowing.
Patient Services Representative
Our patient services representative promote patient and family centered care by facilitating a positive experience for patients, coordinating special service requests, and serving as a forum for complaints and grievance.
ECMO Program Administrator
Our ECMO Program Administrator oversees the ECMO Program, working with physicians, patients and families to ensure quality care, continuous improvement, and the long term success of the program.
ECMO Program Coordinator
Our ECMO Program Coordinator provides support and serves as a resource to families and ECMO patients.
Our Pastoral Care team consists of professionally trained chaplains, residents and interns who understand and interpret the religious, spiritual and existential experiences of patients and their families. They help our patients by providing: spiritual care, emotional support, faith-specific religious guidance, support groups, worship services, meditation, and more.
Our pharmacists are trained in critical care and work closely with the multidisciplinary team. Their focus is to ensure safe and effective use of medications.
Morgan Stanley Children’s Hospital has a multidisciplinary team pediatric team to take care of pediatric ECMO patients. Please visit their website to learn more.