The 8-Year Experience of the Florence Referral ECMO Center and Retrieval Team for Acute Respiratory Failure

Journal of Cardiothoracic and Vascular Anesthesia
Giovanni CianchiAdriano Peris

Abstract

Many extracorporeal membrane oxygenation (ECMO) centers for respiratory failure and ECMO mobile teams were instituted during the H1N1 pandemic. Data on transportation are scarce and heterogeneous. The authors therefore described the experience of their referral ECMO center for severe respiratory failure from 2009 to 2016 and gave a comprehensive report of transfers performed by their mobile ECMO team. Observational retrospective study. An intensive care unit (ECMO referral center) in a teaching hospital. One hundred and sixty consecutive patients with acute respiratory distress syndrome refractory to conventional treatment requiring veno-venous (VV)-ECMO. VV-ECMO implantation. In this series, the transferred patients on ECMO averaged 57%, with annual percentages ranging from 28% to 90% over the years. No adverse event was observed during transportation. A progressive increase in simplified acute physiology score (SAPS) values and in the use of norepinephrine were detectable (p = 0.048 and p = 0.037, respectively) as well as in neuromuscular blockers use (p = 0.004). Dual-lumen cannule were more frequently used in recent years (p < 0.001). The overall mortality rate was 40% (64/160), with no differences over the years or between...Continue Reading

Citations

Jul 14, 2018·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Giovanni CianchiAdriano Peris
Dec 2, 2020·The International Journal of Artificial Organs·Jun Hyun KimAlberto Zangrillo
Mar 11, 2021·Emergency Medicine International·Mateusz PusleckiBartlomiej Perek

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