Dennis M, et al. Recommendations in ECPR post-resuscitation care via an international, modified Delphi approach (CARES)

Certainty
Consensus
Chapters

22

Clinical implication

The only structured guidance that exists for post-ECPR management, and newer than the ELSO ECPR interim guidance. It partly closes Part IV's largest currency gap. Expert opinion by construction, and its authors say so.

Comparator

None

Design
Consensus statement
Identifier

DOI 10.1161/jaha.125.047548; NCT06552312

Intervention

Modified Delphi consensus process, threshold 70% agreement on a nine-point scale

Limitations

Expert opinion in the absence of empirical evidence. A 2025 conference abstract of the same study reports 125 statements yielding 34 position statements across 7 domains. The 42 position statements themselves were not retrieved and none is quoted.

Main result

Consensus reached on 126 statements, synthesised into 42 summary position statements, across system-level considerations, haemodynamic targets, ventilation and oxygenation, anticoagulation, temperature regulation, complication mitigation, weaning and neuroprognostication.

Population

53 international ECPR experts recruited, 52 (98%) completing three Delphi rounds, from 16 countries and 8 specialties; steering committee of 11 experts and one ECPR survivor

Verified
Year
2026