Outcomes From Long-Distance Interfacility Transport of Adult Patients on Acute Mechanical Circulatory Support

Oesterling, Anne Elizabeth; Bott, Steven; Davis, Erin

doi:10.1016/j.amj.2021.09.011

Cited by 1 publication

(1 citation statement)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Transport of patients requiring ECLS is a high-risk endeavor requiring specific expertise. 27,28 With New Mexico's largely rural population and lack of a heart and lung transplantation program, ECLS transport capabilities were felt essential to our program. We also developed robust relationships with regional transplant centers.…”

Section: Ecls Transportmentioning

confidence: 99%

An Intensivist-Led Extracorporeal Membrane Oxygenation Program: Design, Implementation, and Outcomes of the First Five Years

et al. 2022

View full text Add to dashboard Cite

We describe the development, implementation, and outcomes of an intensivist-led adult extracorporeal life support (ECLS) program using intensivists both to perform venovenous (V-V), venoarterial (V-A), and extracorporeal cardiopulmonary resuscitation (ECPR) cannulations, and to manage patients on ECLS throughout their ICU course. All adults supported with ECLS at the University of New Mexico Hospital (UNMH) from February 1, 2017 to December 31, 2021 were retrospectively analyzed. A total of 203 ECLS cannulations were performed in 198 patients, including 116 V-A cannulations (including 65 during ECPR) and 87 V-V cannulations (including 38 in patients with COVID-19). UNMH intensivists performed 195 cannulations, with 9 cannulation complications. Cardiothoracic surgeons performed 8 cannulations. Overall survival to hospital discharge or transfer was 46.5%. Survival was 32.3% in the ECPR group and 56% in the non-ECPR V-A group. In the V-V cohort, survival was 66.7% in the COVID-19-negative patients and 34.2% in the COVID-19-positive patients. This large series of intensivist-performed ECLS cannulations—including V-A, V-V, and ECPR modalities—demonstrates the successful implementation of a comprehensive intensivist-led ECLS program. With outcomes comparable to those in the literature, our program serves as a model for the initiation and development of ECLS programs in settings with limited access to local subspecialty cardiothoracic surgical services.

show abstract

Section: Ecls Transportmentioning

confidence: 99%