Extracorporeal Membrane Oxygenation in Transport Part 1: Extracorporeal Membrane Oxygenation Configurations and Physiology

Vieira, Jennifer; Frakes, Michael A.; Cohen, Jason; Wilcox, Susan R.

doi:10.1016/j.amj.2019.09.008

Cited by 7 publications

(3 citation statements)

References 28 publications

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“…The preparation for transporting patients on ECMO is more extensive and detail oriented than a routine patient transport. 27,28 Anticipating complications may help improve outcomes. The importance of experience in both transports and institutional ECMO cannot be overstated.…”

Section: Discussionmentioning

confidence: 99%

Safety of Interhospital ECMO Transport by Low-Volume ECMO Transport Centers

Singh

Ojito

Sasaki

2020

J Pediatr Intensive Care

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We present our 20 years of experience as a low-volume extracorporeal membrane oxygenation (ECMO) transport center from the Southeast United States. This is a retrospective chart review of all ECMO transported patients between 1998 and 2017. Of 26 patients who were ECMO transported, median age was 15.5 days, 14 patients (54%) were neonates, 18 (69%) patients had primary cardiac pathologies, and 16 (61.5%) patients had primary ECMO transport. Median distance traveled was 81 miles. All patients were on venoarterial ECMO. Complications occurred in three patients (11.5%). Survival to discharge was 69%. Neonatal and pediatric ECMO transport by a low-volume ECMO transport center is safe.

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Section: Discussionmentioning

confidence: 99%

Safety of Interhospital ECMO Transport by Low-Volume ECMO Transport Centers

Singh

Ojito

Sasaki

2020

J Pediatr Intensive Care

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“…regionales, que no pueden proporcionar soporte extracorpóreo, seguido del transporte del paciente al centro especializado en ECMO 54 .…”

Section: Ecmo De Transporte Interhospitalariounclassified

A propósito de la contingencia COVID-19. ECMO en el adulto: Oxigenación por membrana extracorpórea. A quién, cómo y cuándo

Díaz

Antonini

Orrego³

et al. 2020

Rev. méd. Chile

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With regard to COVID-19 contingency. ECMO in adults. Extracorporeal Membrane Oxygenation). To whom, how and when ECMO (Extracorporeal Membrane Oxygenation) is an extracorporeal life support system in catastrophic lung failure, shock and cardiopulmonary resuscitation, in different age groups, with multiple physiologic features. When the candidate to be submitted is too unstable to be transported to a hospital with ECMO, cannulation before transfer allows stabilization and subsequent transport. The aim of this article is to review the current concepts of extracorporeal support, its indications, national and international experience, and its possible role in the SARS-Cov2 pandemic.

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“…Modern air ambulance services are able to provide advanced interventions during transport, including intensive care procedures, differentiated catecholamine therapy, volume resuscitation, modern ventilation strategies, ECMO, inhaled nitric oxide, or even the use of heart-assisted devices (e.g. like Impella®) during transport (14)(15)(16)(17). Several guidelines recommend the use of ECMO or inhaled nitric oxide in selected COVID-19 patients.…”

Section: Medical Interventionsmentioning

confidence: 99%

Pre-hospital care & interfacility transport of 385 COVID-19 emergency patients: An air ambulance perspective.

Hilbert-Carius

Braun²,

Abu‐Zidan

et al. 2020

Preprint

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Background: COVID-19, the pandemic caused by the severe acute respiratory syndrome coronavirus-2, is challenging healthcare systems worldwide. Little is known about problems faced by emergency medical services—particularly helicopter services—caring for suspected or confirmed COVID-19 patients. We aimed to describe the issues faced by air ambulance services in Europe as they transport potential COVID-19 patients.Methods: Nine different HEMS providers across Europe were invited to share their experiences and to report their data regarding the care, transport, and safety measures in suspected or confirmed COVID-19 missions. Six air ambulance providers agreed and reported their data. 385 COVID-19-related missions were analysed, including 119 primary transport missions and 266 interfacility transport missions.Results: All providers had developed special procedures and safety instructions in preparation for COVID-19. Ground transport was the preferred mode of transport in primary missions, whereas air transport was preferred for interfacility transport. In some countries the transport of COVID-19 patients by regular air ambulance services was avoided. Patients in interfacility transport missions had a significantly higher median (range) NACA Score 3 (1-7) compared with 4 (2-5), needed significantly more medical interventions, were significantly younger (59.6±16 vs 65±21 years), and were significantly more often male (73% vs 60.5%). Conclusions: All participating air ambulance providers were prepared for COVID-19. Safe care and transport of suspected or confirmed COVID-19 patients is achievable. Most patients on primary missions were transported by ground. These patients were less sick than interfacility transport patients, for whom air transport was the preferred method.

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Extracorporeal Membrane Oxygenation in Transport Part 1: Extracorporeal Membrane Oxygenation Configurations and Physiology

Cited by 7 publications

References 28 publications

Safety of Interhospital ECMO Transport by Low-Volume ECMO Transport Centers

Safety of Interhospital ECMO Transport by Low-Volume ECMO Transport Centers

A propósito de la contingencia COVID-19. ECMO en el adulto: Oxigenación por membrana extracorpórea. A quién, cómo y cuándo

Pre-hospital care & interfacility transport of 385 COVID-19 emergency patients: An air ambulance perspective.

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Extracorporeal Membrane Oxygenation in Transport Part 1: Extracorporeal Membrane Oxygenation Configurations and Physiology

Cited by 7 publications

References 28 publications

Safety of Interhospital ECMO Transport by Low-Volume ECMO Transport Centers

Safety of Interhospital ECMO Transport by Low-Volume ECMO Transport Centers

A propósito de la contingencia COVID-19. ECMO en el adulto: Oxigenación por membrana extracorpórea. A quién, cómo y cuándo

Pre-hospital care &amp; interfacility transport of 385 COVID-19 emergency patients: An air ambulance perspective.

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Product

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Pre-hospital care & interfacility transport of 385 COVID-19 emergency patients: An air ambulance perspective.