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Mobile ECMO team for inter-hospital transportation of patients with ARDS: a retrospective case series
A Lucchini1, C De Felippis2, S Elli1
1Intensive Care and Emergency Department, General Intensive Care Unit, University of Milan-Bicocca, San Gerardo Hospital, Monza, Italy.
Introduction:
Transport of patients undergoing extracorporeal membrane oxygenation is currently available in 5 referral centers in our country.
Methods:
Retrospective case series of patients managed by our mobile extracorporeal membrane oxygenation team and transferred to San Gerardo University Hospital from December 2004 to December 2012.
Results:
42 patients were transported. The mean age was 42.11 (standard deviation ±18.11) years, with a range between 2 years and 70. 14 patients were females (33%) and 28 males (67%). The average transport distance was 121.69 km (±183.08) with a range between 9 km and 1044 Km. The mission's mean time was equal to 508 minutes (±185) with range of 120-960 minutes. 29 patients (69%) were transported with extracorporeal membrane oxygenation support, while 13 patients (31%) were transported with conventional ventilation. In 28 patients (97%) a veno-venous bypass was utilized, while in one case (3%) a Veno-Arterial cannulation was performed. 32 patients survived (76%) and have been discharged alive from hospital. No major clinical or technical issues were observed during the transport.
Conclusions:
According to our data, we conclude that a dedicated mobile team allowed safe ground transportation of patients with severe acute lung injury to our tertiary care institution.
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