Feasibility of protocolised analgosedation in ECMO (ECMO-SED), v1.0

  • Research type

    Research Study

  • Full title

    Feasibility of a cluster randomised control trial evaluating a co-designed analgosedation protocol in extracorporeal membrane oxygenation (ECMO) patients

  • IRAS ID

    354798

  • Contact name

    Louise Rose

  • Contact email

    louise.rose@kcl.ac.uk

  • Sponsor organisation

    King's College London

  • Duration of Study in the UK

    1 years, 0 months, 29 days

  • Research summary

    Sedation (painkillers and sedative medication) treats pain, reduces suffering, and helps patients in intensive care (ICU) receiving extracorporeal membrane oxygenation (ECMO) remain comfortable. ECMO is a life support machine used in very sick patients with severe heart or lung failure. These patients are younger and generally healthier
    compared to other critically ill patients. However, patients that survive ECMO have long-term health problems. These include anxiety, memory problems, withdrawal from medicines, and mobility issues. These problems issues could all be related to the type and amount of sedation given.

    A sedation protocol is a way of guiding healthcare professionals how much sedation medication is given to patients in ICU. Too much sedation can cause confusion, hallucinations, excessive sleepiness, and longer time in hospital. Too little sedation can cause pain, distress, and longer time in hospital. There are no protocols for giving sedation to ECMO patients in research papers. We know healthcare staff find it difficult to manage sedation, and higher amounts of sedation is given to ECMO patients.

    The study will answer the following questions:

    1. Is a cluster randomised controlled trial (cRCT) of a co-designed analgosedation protocol for adult ECMO patients feasible?
    2. What are the barriers and facilitators to a cRCT of a co-designed analgosedation protocol?

    National Institute for Health and Care Research (NIHR) is funding the study as part of a Doctoral Clinical Academic and Practitioner Fellowship (NIHR304092).

  • REC name

    Yorkshire & The Humber - Leeds East Research Ethics Committee

  • REC reference

    26/YH/0097

  • Date of REC Opinion

    15 May 2026

  • REC opinion

    Unfavourable Opinion