Interhospital Transport of Children Requiring Extracorporeal Membrane Oxygenation Support for Cardiac Dysfunction

Cabrera, Antonio G.; Prodhan, Parthak; Cleves, Mario A.; Fiser, Richard T.; Schmitz, Michael L.; Fontenot, Eudice E.; McKamie, Wesley A.; Chipman, Carl W.; Jaquiss, Robert D.B.; Imamura, Michiaki

doi:10.1111/j.1747-0803.2011.00506.x

Cited by 52 publications

(31 citation statements)

References 8 publications

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“…Cabrera et al 25 reviewed the transports of 38 such patients over a 15 year period, to determine effectiveness and safety. None of the patients had major complications or died during transport, although the authors were quick to add that mobile ECMO is extremely risk laden and expensive.…”

Section: Ecmomentioning

confidence: 99%

Inter- and Intra-hospital Transport of the Critically IllDiscussion

Blakeman

Branson

2013

Respir Care

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Intra-and inter-hospital transport is common due to the need for advanced diagnostics and procedures, and to provide access to specialized care. Risks are inherent during transport, so the anticipated benefits of transport must be weighed against the possible negative outcome during the transport. Adverse events are common in both in and out of hospital transports, the most common being equipment malfunctions. During inter-hospital transport, increased transfer time is associated with worse patient outcomes. The use of specialized teams with the transport of children has been shown to decrease adverse events. Intra-hospital transports often involve critically ill patients, which increases the likelihood of adverse events. Radiographic diagnostics are the most common in-hospital transport destination and the results often change the course of care. It is recommended that portable ventilators be used for transport, because studies show that use of a manual resuscitator alters blood gas values due to inconsistent ventilation. The performance of new generation transport ventilators has improved greatly and now allows for seamless transition from ICU ventilators. Diligent planning for and monitoring during transport may decrease adverse events and reduce risk.

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Section: Ecmomentioning

confidence: 99%

Inter- and Intra-hospital Transport of the Critically IllDiscussion

Blakeman

Branson

2013

Respir Care

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“…Interfacility transport of ECMO-supported patients has been described in several published series over the last couple decades (10,12,13). In general ECMO transport is associated with low rates of complications and very low rates of significant complications.…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, we have made our own contributions to the field by customizing standard transport equipment to allow rotor wing (RW) ECMO transport using the EC-145 helicopter (9). Previous authors have used the larger Sikorsky-76 helicopter (13) which can accommodate larger loads. The customized sled developed by our team allows for use of the NCH transport team's dedicated helicopter with FAA-compliant equipment ( Figure 2).…”

Section: Discussionmentioning

confidence: 99%

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Development of a new interfacility extracorporeal membrane oxygenation transport program for pediatric lung transplantation evaluation

2017

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Pediatric lung transplantation is a life-saving intervention for children with irreversible endstage lung disease. Access to transplant can be limited by geographic isolation from a center or the presence of comorbidities affecting transplant eligibility. Extracorporeal membrane oxygenation (ECMO)-supported patients are an uncommon but historically high-risk cohort of patients considered for lung transplant. We report the development of a service at our center to provide transport services to our hospital for patients unable to wean from ECMO support at their local institution for the purpose of evaluation for lung transplantation by our program. We developed a process for pre-transport consultation by the lung transplant physician team, standardized hand-off tools and equipment lists, and procedures for transitioning patients to transport ECMO machinery. Four patients have been transported to date including fixed wing (FW) and helicopter transports. All patients were successfully transported with either none or minor complications. Transport of ECMO-supported patients is a feasible method to increase access of patients with irreversible lung injured patients to evaluation for lung transplant.

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“…Texas Children's Hospital has successfully transported ECMO candidate patients by both land and ground. From 1990 to 2005, 38 patients were successfully transferred to Texas Children's Hospital without major complication or death (64).…”

Section: Transportmentioning

confidence: 99%

Pediatric Extracorporeal Membrane Oxygenation: An Introduction for Emergency Medicine Physicians

Gehrmann¹,

Hafner

Montgomery

et al. 2015

The Journal of Emergency Medicine

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Interhospital Transport of Children Requiring Extracorporeal Membrane Oxygenation Support for Cardiac Dysfunction

Abstract: Air and ground CM-ECMO transport of pediatric patients with refractory myocardial dysfunction is safe and effective. In our study cohort, the need for post-CM-ECMO renal support was associated with the composite outcome of death/need for cardiac transplant.

Cited by 52 publications

References 8 publications

Inter- and Intra-hospital Transport of the Critically IllDiscussion

Inter- and Intra-hospital Transport of the Critically IllDiscussion

Development of a new interfacility extracorporeal membrane oxygenation transport program for pediatric lung transplantation evaluation

Pediatric Extracorporeal Membrane Oxygenation: An Introduction for Emergency Medicine Physicians

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