Inter-hospital transfer of ECMO-assisted patients with a portable miniaturized ECMO device: 4 years of experience

Raspé, Christoph; Rückert, Florian; Metz, D; Hofmann, Britt; Neitzel, T; Stiller, M; Gielen, Stephan; Nestler, Frank; Ebbighausen, N; Steinke, T.; Bucher, Michael; Bushnaq, Hasan

doi:10.1177/0267659114531611

Cited by 29 publications

(22 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Transports have been performed both with roller and centrifugal pumps. Roller pumps were more common in the earlier era of transports ( 11 – 14 ) and later on centrifugal pumps were preferred by most centers ( 6 , 8 , 9 , 15 – 18 ). Today, the latter is recommended by ELSO due to improved functionality and safety in combination with a shorter circuit ( 10 ).…”

Section: Methodsmentioning

confidence: 99%

Transportation of Critically Ill Patients on Extracorporeal Membrane Oxygenation

Broman

Frenckner

2016

Front. Pediatr.

View full text Add to dashboard Cite

Extracorporeal membrane oxygenation (ECMO) may be a life-saving procedure for patients with severe reversible pulmonary or cardiac failure or for patients in need for a bridge to transplantation. ECMO is provided by specialized centers, but patients in need of ECMO are frequently taken care of at other centers. Conventional transports to an ECMO center can be hazardous and deaths have been described. For this reason, many ECMO centers have developed transport programs with mobile ECMO. After request, the mobile team including all necessary equipment to initiate ECMO is sent to the referring hospital, where the patient is cannulated and ECMO commenced. The patient is then transported on ECMO to the ECMO facility by road, helicopter, or fixed-wing aircraft depending on distance, weather conditions, etc. Eight publications have reported series of more than 50 transports on ECMO of which the largest included over 700. Together, these papers report on more than 1400 patient transports on ECMO. Two deaths during transport have occurred. A number of other adverse events are described, but without effect on patient outcome. Survival of patients transported on ECMO is equivalent to that of non-transported ECMO patients. It is concluded that long-, short-distance interhospital transports on ECMO can be performed safely. The staff should be experienced and highly competent in intensive care, ECMO cannulation, ECMO treatment, intensive care transport, and air transport medicine.

show abstract

Section: Methodsmentioning

confidence: 99%

Transportation of Critically Ill Patients on Extracorporeal Membrane Oxygenation

Broman

Frenckner

2016

Front. Pediatr.

View full text Add to dashboard Cite

show abstract

“…Bangkok Hospital team is the fi rst transported ECMO team in Thailand and we perform this procedure with good results as at other ECMO centers. [8][9][10] The successful transportation of ECMO patients requires a skilled Transport Medical Director who is responsible for planning the mission, preparing and assembling the transport team. Furthermore, the ECMO transport team should receive the requisite training.…”

Section: Resultsmentioning

confidence: 99%

Interhospital Transport of the ECMO Patients in Bangkok Hospital

Akanitthapichat¹,

Sakiyalak²,

Chirasanta³

et al. 2015

bkkmedj

View full text Add to dashboard Cite

An extracorporeal membrane oxygenator (ECMO) is used to support the heart and lungs in patients with severe cardiogenic shock and respiratory failure. When these cases occur in hospitals that cannot provide ECMO care, the interhospital transport of ECMO is necessary. Since November 2014, Bangkok Hospital has had 3 ECMO cases from Chiangmai, Trad and Pattaya respectively. There were no complications with establishing ECMO during transportation. Two of the patients survived, although they developed deep vein thrombosis after the removal of ECMO. Unfortunately one patient suffered pulmonary hemorrhage and died from circuit thrombosis due to pulmonary hemorrhage.

show abstract

“…The length of this ECMO run made transport of this immunocompromised and pancytopenic patient necessary. Notably, ECMO circuits are increasingly portable, 22,23 and this is likely to allow for greater access to a broader range of hospital services for critically ill pediatric oncology patients in the coming years. Also in this case significant complications of therapy such as pancytopenia, profound immunosuppression, and febrile neutropenia/sepsis occurred during the ECMO run.…”

Section: Discussionmentioning

confidence: 99%

Continuous infusion chemotherapy, radiotherapy, and FDG‐PET are feasible during extracorporeal membrane oxygenation

Rotz

Almeida

Koyfman

et al. 2020

Pediatric Blood & Cancer

View full text Add to dashboard Cite

Extracorporeal membrane oxygenation (ECMO) may be used in extreme circumstances for patients with a mediastinal mass and respiratory failure. We report on a young man with primary mediastinal B‐cell lymphoma invading into the trachea, requiring a 40‐day ECMO run who underwent fluorodeoxyglucose positron emission tomography (FDG‐PET) imaging and treatment with concurrent mediastinal irradiation and continuous infusion chemotherapy while on this life‐saving technology. This case illustrates that oncology patients may be managed by multidisciplinary teams for extended periods in extraordinary circumstances using multimodality therapies. Additionally, to our knowledge this is the first case to demonstrate the feasibility of FDG‐PET imaging while on ECMO.

show abstract

Inter-hospital transfer of ECMO-assisted patients with a portable miniaturized ECMO device: 4 years of experience

Cited by 29 publications

References 22 publications

Transportation of Critically Ill Patients on Extracorporeal Membrane Oxygenation

Transportation of Critically Ill Patients on Extracorporeal Membrane Oxygenation

Interhospital Transport of the ECMO Patients in Bangkok Hospital

Continuous infusion chemotherapy, radiotherapy, and FDG‐PET are feasible during extracorporeal membrane oxygenation

Contact Info

Product

Resources

About