Complications during intra-hospital transport of pediatric patient on extracorporeal membrane oxygenation

Bosch-Alcaraz, A.; Alcolea-Monge, S.; Domínguez-Delso, M.C.; Santaolalla-Bertolin, M; Segura-Matute, S

doi:10.1016/j.medine.2018.08.007

Cited by 1 publication

(2 citation statements)

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“…Moreover, only six ECMO centers have reported experience over 100 primary or secondary transports, and to our knowledge there is still no reports that include intra-facility transportation in adult patients. 11,12 Although most published data support the feasibility of transport on ECMO with a mortality rate during primary transportation between 0.2-0.8%, [8][9][10] complications prevalence and severity are rarely reported. In 393 ECMO transports performed by our team occurred 50 complications (12.7%), with a prevalence of 15% in primary, secondary and tertiary transportation, lower than previously reported (28%-54%).…”

Section: Discussionmentioning

confidence: 99%

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Complications during transport of adult patients on extracorporeal membrane oxygenation

et al. 2023

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Introduction Transport on extracorporeal membrane oxygenation (ECMO) is a risky and complex procedure. Although most published data support the feasibility of interhospital transport on ECMO, data concerning intra-facility transportation and frequency and severity of complications during ECMO transport of adult patients are still scarce. The aim of this study was to assess transport arrangements and complications during intra and interhospital ECMO-supported patients transport at a high-volume ECMO center. Methods Retrospective single-center descriptive study evaluating the prevalence and severity of complications associated with the transportation of adult patients on ECMO support between 2014 and 2022 in our ECMO center. Results We performed 393 transfers of patients on ECMO support. Those comprised 206 intra-facility, 147 primary, 39 secondary and one tertiary transports. For primary and tertiary transportations, the average transfer length was 118.6 km (range 2.5–1446) and the mean total transport time was 5 h 40 min. The majority of transportations were made by ambulance (93.2%). Complications occurred in 12.7% of all transports and were more frequent in intra-facility and primary/tertiary transfers. Most complications were patient (46%) and staff related (26%). Risk category two was the most frequent (50%), and only five complications were classified as risk category 1 (10%). No deaths occurred during all patient transport. Conclusions Most transports carry minor problems that entail a negligible risk to the patient. When ECMO-supported transport is performed by an experienced team, the severe complications are not related with an increased morbimortality.

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