Desplazamientos interhospitalarios de un equipo móvil para preservación de órganos con oxigenación por membrana extracorpórea en donantes en asistolia controlada

Pérez-Villares, J.M.; Lara-Rosales, R.

doi:10.1016/j.medin.2017.02.010

Cited by 6 publications

(4 citation statements)

References 6 publications

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“…The majority of the studies pertained to the abdominal organs—in particular, kidneys (34%) [ 28 ], liver (30%) [ 29 ], and pancreas (11%) [ 30 ]—followed by the thoracic organs—lungs (13%) and heart (10%) [ 12 ]. Only 2% of the studies involved the harvesting of grafts pertaining different anatomical regions, including cornea [ 13 , 17 , 31 ], gall bladder and choledochus [ 32 ], osteotendinous tissue [ 13 , 31 ], bowel [ 33 ], and vascular tissue [ 13 ]. A study reported the harvesting of even an entire limb (actually a “topical” ECMO) [ 34 ].…”

Section: Resultsmentioning

confidence: 99%

“…Therefore, the assessment of tissue harvesting and use should receive more attention. In particular, cornea [ 31 ], gall bladder and choledocus [ 32 ], osteotendinous tissue, and vessels were harvested from ECMO donors [ 13 ], but nothing was shared about their status and fate.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, besides its reconditioning effect, ECMO allows organ function to be assessed prior to transplantation. Concerning tissue assessment, ECMO also confers the possibility of conducing intraoperative biopsies, which provide the chance to use reliable grafts [ 12 , 13 ]. However, treatment with ECMO also reported several side effects, such as blood cell consumption and activation [ 14 ], and risk of injury inherently related to the reperfusion process [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

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Extra-Corporeal Membrane Oxygenation Cadaver Donors: What about Tissues Used as Allografts?

et al. 2021

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Several studies demonstrated the efficacy of post-mortem extracorporeal membrane oxygenation (ECMO) on donors in preserving organ function addressing organ transplantation. Nevertheless, no common and shared evidence was reached about the possibility of using ECMO donors in tissue harvesting. Therefore, this work aimed first to review the current scientific literature about ECMO donors, and then to focus on the use of ECMO tissues as allografts, mainly addressing musculoskeletal tissues, which are of the most interest for reconstruction. A search was conducted on the current scientific literature, focusing on the keywords “ECMO” and “Donor”. Several online databases were used, including PubMed, Scopus, and Web of Science. From the preliminary search, 478 articles were obtained, out of which 173 specifically reported the use of ECMO for donation and transplantation purposes. Literature reported extensive analyses of ECMO organs—overall from the abdomen—both in pre- and post-transplantation studies. On the other hand, ECMO tissues were explanted only in a very limited number of cases; moreover, no information was referred about their status and use. A revision of the current scientific literature highlighted the lack of information concerning ECMO tissues and the necessity to perform preclinical, ex vivo studies to compare allografts from ECMO donors, with respect to standard donors, and, thus, to verify whether they can be harvested and implanted safely and with efficacy.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Extra-Corporeal Membrane Oxygenation Cadaver Donors: What about Tissues Used as Allografts?

et al. 2021

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“…-Es necesario un transporte terrestre con capacidad para 4 personas, camilla, paciente y material, desde el helipuerto o aeropuerto hasta el hospital. Figura 1: Propuesta de Checklist a realizar por el Hospital de Origen: criterios de activación del equipo ECMO, datos clínicos, analíticos y pruebas de imagen relevantes, necesidades instrumentales y de espacio para colocación de soporte extracorpóreo (53). TAS: tensión arterial sistólica; TAD: tensión arterial diastólica, TAM: tensión arterial media; FR: frecuencia respiratoria, iNO: óxido nítrico, TCRR: terapias continuas de remplazo renal; BIAC: balón de contrapulsación.…”

Section: En Caso De Transporte Aereo Con Necesidad De Transporte Terrunclassified

Issues to resolve with the use of extracorporeal membrane oxygenation during interfacility transportation

Burgueño

González

Sarralde

et al. 2019

Medicina Intensiva (English Edition)

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Extracorporeal membrane oxygenation (ECMO) support is indicated for patients who are refractory to treatment, those with cardiogenic shock or respiratory failure and those with exacerbations eligible for heart and lung transplantation. The practitioner's experience and quantity of necessary resources are reasons why regionalization could benefit these types of patients, establishing ECMO reference centers and integrating a transportation network specialized in ECMO. This type of transportation is a challenge for healthcare systems and physicians, given its greater complexity, requiring a multidisciplinary and interterritorial approach. ECMO transportation is safer than without mechanical support, although there are currently no criteria for starting the therapy on patients being transferred. Criteria of lesser severity might be necessary for these patients. The training and specialization of the team in extracorporeal support therapies, interfacility transport and the systemization of the transfer can improve results. There are no studies on the conditions that must be met by the transportation media, although space and stability are important characteristics. Air transfer with ECMO is an increasingly frequent option. Although there are data on its safety, there are none on the physiology of patients undergoing ECMO at high altitudes, data that could help with the indication and management of this type of transportation.

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Papel de la perfusión normotérmica con oxigenación de membrana extracorpórea en la donación en asistolia controlada en España

et al. 2022

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Desplazamientos interhospitalarios de un equipo móvil para preservación de órganos con oxigenación por membrana extracorpórea en donantes en asistolia controlada

Cited by 6 publications

References 6 publications

Extra-Corporeal Membrane Oxygenation Cadaver Donors: What about Tissues Used as Allografts?

Extra-Corporeal Membrane Oxygenation Cadaver Donors: What about Tissues Used as Allografts?

Issues to resolve with the use of extracorporeal membrane oxygenation during interfacility transportation

Papel de la perfusión normotérmica con oxigenación de membrana extracorpórea en la donación en asistolia controlada en España

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