Inter-Hospital Transportation of Patients on Extracorporeal Life Support: A Single Center Experience
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Background: Extracorporeal life support (ECLS) is an effective life-saving tool for patients in refractory cardiac or respiratory failure. Although transportation of patients on ECLS is challenging, it is necessary in some instances. We report our initial experience of transporting patients on ECLS. Methods: The study period was between January 2004 and August 2013. We reviewed our ECLS database and identified four patients who were transported to our institution on ECLS. We excluded patients who were not transported by our ECLS team. Results: There were no clinically significant events during transportation. ECLS indications included acute respiratory distress syndrome in two patients, stress-induced cardiomyopathy induced by pneumonia sepsis in one patient, and cardiac arrest caused by amyloid cardiomyopathy in another patient. One patient was transported by helicopter and three patients were transported in an oversized ambulance. Three patients were successfully weaned off ECLS and discharged without significant complications. Conclusions: Inter-hospital transport can be safely performed by an experienced ECLS team. Successful transport may improve patient outcome and the ECLS programs of both referring and referral hospitals.
Abstract
Background: Extracorporeal life support (ECLS) is an effective life-saving tool for patients in refractory cardiac or respiratory failure. Although transportation of patients on ECLS is challenging, it is necessary in some instances. We report our initial experience of transporting patients on ECLS. Methods: The study period was between January 2004 and August 2013. We reviewed our ECLS database and identified four patients who were transported to our institution on ECLS. We excluded patients who were not transported by our ECLS team. Results: There were no clinically significant events during transportation. ECLS indications included acute respiratory distress syndrome in two patients, stress-induced cardiomyopathy induced by pneumonia sepsis in one patient, and cardiac arrest caused by amyloid cardiomyopathy in another patient. One patient was transported by helicopter and three patients were transported in an oversized ambulance. Three patients were successfully weaned off ECLS and discharged without significant complications. Conclusions: Inter-hospital transport can be safely performed by an experienced ECLS team. Successful transport may improve patient outcome and the ECLS programs of both referring and referral hospitals.
참고문헌 (8)
- MacLaren G, "Contemporary extracorporeal membrane oxygenation for adult respiratory failure: life support in the new era", Intensive Care Med, 38, pp.210~220 (2012)
- Smedira NG, "Clinical experience with 202 adults receiving extracorporeal membrane oxygenation for cardiac failure: Survival at five years", J Thorac Cardiovasc Surg, 122, pp.92~102 (2001)
- Kirshbom PM, "Use of extracorporeal membrane oxygenation in pediatric thoracic organ transplantation", J Thorac Cardiovasc Surg, 123, pp.130~136 (2002)
- Sung K, "Improved survival after cardiac arrest using emergent autopriming percutaneous cardiopulmonary support", Ann Thorac Surg, 82, pp.651~656 (2006)
- Michaels AJ, "Adult refractory hypoxemic acute respiratory distress syndrome treated with extracorporeal membrane oxygenation: the role of a regional referral center", Am J Surg, 205, pp.492~498 (2013)
- Thiagarajan RR, "Extracorporeal Membrane Oxygenation to Aid Cardiopulmonary Resuscitation in Infants and Children", Circulation, 116, pp.1693~1700 (2007)
- Starck CT, "Interhospital transfer of seriously sick ARDS patients using veno-venous Extracorporeal Membrane Oxygenation (ECMO): Concept of an ECMO transport team", Int J Crit Illn Inj Sci, 3, pp.46~50 (2013)
- Hayes D Jr, "Cross-country transfer between two children's hospitals of a child using ambulatory extracorporeal membrane oxygenation for bridge to lung transplant", Pediatr Transplant, 17, pp.E117~E118 (2013)