Normothermic regional perfusion mobile teams in controlled donation after circulatory death pathway: Evidence and peculiarities

Table 1 Differences and similarities between mobile extracorporeal membrane oxygenation teams and normothermic regional perfusion teams

	Mobile ECMO team	NRP team
Type of cannulation	VV ECMO	NRP
	VA ECMO
Transport of ECMO patients	Always	Never
Equipment utilized	The same as the components used for in-house ECMO support	The same as the components used for in-house ECMO support
Clinical assessment - ECMO indications	Always	Never (technical feasibility)

ECMO: Extracorporeal membrane oxygenation; VV: Veno-venous; VA: Veno-arterial; NRP: Normothermic regional perfusion.

Table 2 Evidence of extracorporeal membrane oxygenation mobile teams

	Spain, Granada	Spain, Madrid	Italy, Padua	Italy, Cesena	Italy, Padua (Heart retrieval)
Staff	Two transplant coordinators (ECMO operator and organ extraction supervisor), and a team of surgeons (cannulation and organ extraction		The TPM, the organ donation nurse coordinator, 1 perfusion technician, and a cardiac surgeon	Intensivists	Cardiac surgeon
				Interventional radiologist	Cardiac anesthesiologist
				Vascular surgeon	Transplant coordinator
				Nurses
				Perfusionists
Experience	8 cDCDs	33 cDCDs	1 cDCDs	45 cDCDs
	2 liver transplants	39 kidneys, 12 livers and 5 bilateral lungs were recovered and transplanted	1 liver transplant	25 liver transplants
	15 kidney transplants		1 kidney transplant	34 kidney transplants

ECMO: Extracorporeal membrane oxygenation, VV: Veno-venous, VA: Veno-arterial, NRP: Normothermic regional perfusion, cDCD: Controlled donation after circulatory death.