跨境:体外膜氧化国际运输的经验:特殊考虑和挑战
Carmen Mesas Burgos1,2,3, Björn Frenckner1,2,3, Lars Mikael Broman2,4
1Department of Pediatric Surgery, Karolinska University Hospital, Stockholm, Sweden.
ASAIO journal (American Society for Artificial Internal Organs : 1992)
|May 1, 2025
概括
国际体外膜氧化 (ECMO) 运输是安全有效的. 高度训练有素的团队有助于成功将患者转移到专门中心,实现高生存率.
科学领域:
- 心血管医学 心血管医学
- 呼吸系统医学 呼吸系统医学
- 关键的护理关键的护理
背景情况:
- 身体外膜氧化 (ECMO) 为严重的心脏或呼吸系统衰竭提供生命支持.
- 有限的可用性需要将患者运送到专门的中心,国际运输不常见.
- 移动ECMO服务很少,这凸显了全球患者转移的后勤挑战.
研究的目的:
- 审查一个特定部门在25年内对国际ECMO运输的经验.
- 分析国际ECMO案件的数量,目的地,注销策略和结果.
- 评估洲际ECMO患者转移的安全性和有效性.
主要方法:
- 从1998年到2022年,对所有ECMO运输的回顾性审查.
- 分析了1,277个ECMO运输,重点关注357个国际案件.
- 收集关于患者人口统计,管状态,ECMO配置,运输方式,距离和结果的数据.
主要成果:
- 国际ECMO运输占所有运输的28% (357/1,277).
- 大多数国际运输 (52%) 是ECMO中心卡罗林斯卡.
- 运往卡罗林斯卡医院的患者的住院生存率为82%,其中36%出现并发症,但没有过境死亡.
结论:
- 当经验丰富的团队管理国际ECMO运输时,这是一个可行的和安全的程序.
- 该研究表明,对于需要洲际ECMO支持的重症患者,研究结果是成功的.
- 高度训练有素的团队对于管理复杂性和确保国际ECMO患者转移安全至关重要.
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