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The Society of Cardiovascular Anesthesiologists Quality, Safety, and Leadership Committee Extracorporeal Membrane Oxygenation (ECMO) working group was composed of 12 cardiovascular-critical care anesthesiologists from adult ECMO centers in the United States. One perfusionist-ECMO manager was included in the writing group to enhance expertise on the technical aspects of ECMO. In the first stage of creating the expert consensus statement, topics related to intraoperative ECMO management were proposed by group members. A literature review for each topic was performed using MEDLINE, and articles published after 1980 were included at the discretion of group members. The specific search terms that were queried varied for each topic area.