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Mobile Extracorporeal Membrane Oxygenation.

Antonio F Corno1,2, Gail M Faulkner1, Chris Harvey1

  • 1East Midlands Congenital Heart Centre, University Hospitals of Leicester, Leicester, England, UK.

ASAIO Journal (American Society for Artificial Internal Organs : 1992)
|October 16, 2020
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Summary
This summary is machine-generated.

Mobile extracorporeal membrane oxygenation (ECMO) is a safe and reliable method for transferring critically ill patients. A dedicated, highly trained team ensures successful outcomes during these complex mobile ECMO procedures.

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Area of Science:

  • Cardiovascular Medicine
  • Critical Care Medicine
  • Pediatric Medicine

Background:

  • Mobile extracorporeal membrane oxygenation (ECMO) facilitates critical care transport for patients requiring advanced life support.
  • Establishing a specialized mobile ECMO team is crucial for managing complex patient transfers.

Purpose of the Study:

  • To review the experience and outcomes of mobile ECMO transfers.
  • To assess the safety and reliability of mobile ECMO for critically ill patients.

Main Methods:

  • A dedicated mobile ECMO team (surgeon, intensivist, nurse, perfusionist) managed patient transfers.
  • Patients received either venous-arterial (V-A) or venous-venous (V-V) ECMO based on clinical needs.
  • Transfers utilized specific equipment including a Levitronics Centrimag pump and Hico Variotherm heater cooler.

Main Results:

  • Over a decade, 571 patients (neonates, pediatric, adults) underwent mobile ECMO transfer.
  • Road transport was the primary mode (79%), with safe execution for journeys up to 6 hours.
  • The average transfer duration was 5.5 hours, with a low incidence of critical events during transport.

Conclusions:

  • Mobile ECMO is a safe and dependable service for transporting the sickest patients.
  • A fully equipped and trained mobile ECMO team is essential for successful patient management and outcomes.