This study surveyed 44 German ECMO centers to evaluate practices in pre-assembling and storing ECMO systems. Results show 77% of centers have preassembled systems (dry, wet, or with circulation), but only 50% have a standard operating procedure (SOP). Most centers discard wet preassembled systems after 20 days, below the ELSO guideline of 30 days. The study highlights the need for evidence-based SOPs to standardize practices, ensure hygiene, and optimize training for ECMO system preassembly and storage.

This article explores the transformative potential of artificial intelligence (AI) in cardiopulmonary bypass (CPB) and perfusion. AI enhances decision-making by analyzing patient data, optimizing blood flow and pressure parameters, and providing real-time alerts during surgery. It facilitates personalized care, streamlines routine tasks, and improves patient outcomes, particularly in high-risk groups. As AI evolves, it promises to redefine the role of perfusionists and elevate the standards of care in cardiac surgery.