Country report: India - ELSO

Dr. Praveen Khilnani MD FCCM
Director Pediatric critical care BLK Superspeciality hospital,New
Delhi India and Mediclinic city hospital,Dubai,UAE
Huge country with
variable healthcare
provision
 Financial constraints
 Lack of Uniform
transport facilities
 Learning curve
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 Available
at All India Institute of
Medical Sciences, New Delhi and
Narayana Hrudayalaya,Manipal
hospital Bangalore,Apollo
Chennai,Max hospital Delhi for
selective cases for more than a
decade
Became available 2010 onwards with H1 N1
Epidemic and severe ARDS
 Both Adults and Pediatric cases
 Initiated by Team of Ridhi Vinayak hospital Mumbai
providing ECMO team and equipment with expertise
to many centres all over India
 6 centers currently on ELSO registry from India
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: Objectives
Conducting dedicated ECMO training courses and
National Conference on ECMO
Improve awareness of ECMO in India
Make a common platform for those who are doing ECMO
or planning to start the program.
Training Medical & Paramedical staff as ECMO specialists
and teams.
To make standard protocols & Guidelines for ECMO.
To have common data registry of ECMO cases in India
To decrease the cost of disposables of ECMO.
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More than 54 centres
More than 600 cases
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ECMO Society of India initiative
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Data reporting
 needs to improve
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Ridhivinayak hospital :Mumbai
200 cases done past two years 45% mortality
70% respiratory 30% Cardiac mostly adults
aproximately 20 pediatric 1 neonatal PPHN
AIIMS Delhi: 300 cases past year 290 cardiac 10 respiratory
BLK 5 Pediatrics in past year one cardiac(survival) 4 respiratory(3
survived)
KIMS Hyderabad,DMC Hospital Ludhiana,MAX Superspeciality
hospitalDelhi,Apollo Chennai…and More
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ECMO Society of India has central data registry
Lot to be desired towards sharing Data
Many centers have not reported the detailed data
It remains a
BIG CHALLENGE FOR SWACELSO registration committee to get
all ECMO centers to be members and share and report Data
Organized From 2010 onwards
 Annual or Biannual meetings with workshops
 Teaching faculty: National and International
 Participants: Passionate, motivated Drs,
perfusionists and Critical care nurses from India and
abroad
 Teams from Iran, Muscat, Abudhabi participated
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Aim: To cover all corners of the country
Training programs and conferences were held at
Delhi, Mumbai, Manipal, Calcutta, Hyderabad, Puttaparthi
Chennai, Vellore, Kochi
Maquet: supporting role
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5 to 7 day program
Dedicated
Interactive
Simulation
Web based interactions
Limited numbers
National and International faculty
Team Structure:
 Equipment:
 Training and on-going training needs
 Sharing information across the centres
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Lack of experience while starting new centre
 Learning curve
 Financial backing for a treatment with uncertain
period
 Superadded infections
 Huge geographical distances and lack of transport
facilities
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Bringing the costs down
Equipment availability
Infection issues
Care with Passion and dedication
Insurance programs
Charities
Controlling infection
 Streamlining
training programs
 Integration
 Reporting
and sharing information
 ECMO training by Simulation
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Passion
Migration of trained professionals
Perfusionists seeing it as a profession to practice
Corporates identifying the need
Medical community accepting it’s role
 Formation
of SWAC ELSO
FIRST SWAC-ELSO conference
2014
India
And
5th annual conference of
ECMO Society of India
www.swacelso.com
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We made progress
Made friendships
Platform for collective thinking, mutual exchange of ideas and
regional co-operation
More member countries need to join
Affordability to the less fortunate
Much more needs to be done
Humble beginnings
Every bit of effort
was worth it !!
Thanks