Five-year experience with mobile adult extracorporeal membrane oxygenation in a tertiary referral center

Journal of Critical Care
Ricky VajaChris Harvey

Abstract

Mobile extracorporeal membrane oxygenation (ECMO) is reserved for critically unstable patients who may not otherwise survive transfer to the ECMO center. We describe our experience with mobile ECMO. We retrospectively reviewed adult patients between 2010 and 2014 who were referred for ECMO support and were too unwell for conventional transfer. They were cannulated at their referring center by our team and subsequently transported back to our hospital on ECMO. A total of 102 patients were put on ECMO by our team. Of 102 patients, 95 (93%) were managed by venovenous ECMO, and 7 (7%), by venoarterial ECMO. The average distance traveled was 195 miles (SD, ±256.8; range, 3.6-980). Transportation was via road in 77 cases (77%), by air in 22 cases (22%), and in 3 cases (3%) a combination of road and air was used. A double-lumen Avalon cannula was used in 72 patients (70%). One patient had a ventricular tachycardia arrest during cannulation but was successfully resuscitated. There was no mortality or major complications during transfer. The use of mobile ECMO in adult patients is a safe modality for transfer of critically unwell patients. We have safely used double-lumen cannulas in most of these patients.

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Citations

Sep 25, 2016·Soins. Pédiatrie, puériculture·Alain AmblardJérôme Rambaud
Feb 7, 2017·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Anders EricssonL Mikael Broman
Sep 4, 2016·Perfusion·Jerome RambaudRicardo Carbajal
Oct 28, 2017·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Marco D Huesch
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Sep 8, 2017·Expert Review of Medical Devices·Julia MerkleThorsten Wahlers
Mar 11, 2021·Emergency Medicine International·Mateusz PusleckiBartlomiej Perek
Jun 4, 2021·Journal of Cardiothoracic Surgery·Felix FleissnerChristian Kühn

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