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Transport of critically ill children on cardiopulmonary support assistance

Maher K Eldadah1, Monica C Olsen, Harun Fakioglu

  • 1Congenital Heart Institute at Arnold Palmer Hospital for Children, Orlando, Florida 32806, USA.

The Journal of Extra-Corporeal Technology
|May 5, 2010
PubMed

Insights

Two pediatric patients with sudden cardiac deterioration underwent helicopter transport on cardiopulmonary support (CPS) for heart transplantation. This highlights the need for rapid inter-hospital transport protocols for critical cardiac care.

Area of Science:

  • Pediatric Cardiology
  • Cardiovascular Surgery
  • Transport Medicine

Background:

  • Sudden cardiac deterioration can necessitate urgent heart transplantation.
  • Early referral to transplant centers may not always be feasible due to acute events.

Observation:

  • Two pediatric patients (9 kg and 22 kg) experienced critical cardiac decline.
  • Mechanical cardiopulmonary support (CPS) was initiated to stabilize failing cardiac function.

Findings:

  • Successful helicopter transport on CPS was achieved for both patients to a transplant institution.
  • Heart transplantation was identified as the most viable recovery option.

Implications:

  • Heart centers must establish robust protocols for inter-hospital transport using cardiopulmonary support (CPS).
  • Transport strategies can involve the referring, receiving, or a third-party institution.
  • Timely and effective transport is crucial for pediatric patients requiring emergent heart transplantation.
Abstract

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