Pioneers of ECMO therapy in Slovenia were doctors of the Department of Paediatric Surgery and Intensive Care of the University Medical Centre Ljubljana (UMCL), followed by the doctors of the Department of Cardiovascular Surgery. In 2009 ECMO treatment became widespread as H1N1 influenza emerged.

We started using ECMO in adult internistic patients at the Clinical Department of Intensive Internal Medicine of UMCL in 2009. In 2012, we performed the first transport of patient on ECMO, thereby making ECMO accessible also to those patients who cannot be transported to the University Medical Centre in Ljubljana.

Institutions with ECMO programme in 2020:

UMC Ljubljana – ICU of the Department of Cardiovascular Surgery (KV CIT), ICU of the Division of Surgery (CIT), Department of Paediatric Surgery and Intensive Care (KOKIT), Clinical Department of Intensive Internal Medicine (KOIIM).


Majority of adult patients (up to 40 per year) are treated at Clinical Department of Intensive Internal Medicine (Figure 1).

Figure 1. Departments of UMC Ljubljana, where ECMO is performed. 




University Medical Centre Maribor – Department of Intensive Therapy (CIT) and the Department of Internal Intensive Medicine  (Figure 2).

Figure 2. Departments of UMC Maribor, where ECMO is performed.


 
Clinical path for admission of patients from various parts of Slovenia is shown in Figure 3. 

ECMO patients are transported by ECMO team from Clinical Department of Intensive Internal Medicine of UMC Ljubljana.

Figure 3. The clinical path for admission of patients for ECMO



Number of patients who require ECMO to survive is growing (Figure 4).

Figure 4. Patients according to age and type of ECMO at the Clinical Department of Intensive Internal Medicine UMC Ljubljana


 


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