Capabilities of a mobile extracorporeal membrane oxygenation service for severe respiratory failure delivered by intensive care specialists

被引：40

作者：

Sherren, P. B. ^{[1
]}

Shepherd, S. J. ^{[1
]}

Glover, G. W. ^{[1
]}

Meadows, C. I. S. ^{[1
]}

Langrish, C. ^{[1
]}

Ioannou, N. ^{[1
]}

Wyncoll, D. ^{[1
]}

Daly, K. ^{[1
]}

Gooby, N. ^{[2
]}

Agnew, N. ^{[2
]}

Barrett, N. A. ^{[1
]}

机构：

[1] St Thomas Hosp, Dept Crit Care, London, England

[2] St Thomas Hosp, Dept Clin Perfus, London, England

来源：

ANAESTHESIA | 2015年 / 70卷 / 06期

关键词：

ACUTE LUNG INJURY; HIGH-FREQUENCY OSCILLATION; CRITICALLY-ILL PATIENTS; INHALED NITRIC-OXIDE; DISTRESS-SYNDROME; ADULT PATIENTS; HIGH SURVIVAL; METAANALYSIS; VENTILATION; MORTALITY;

D O I：

10.1111/anae.13014

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

We conducted a single-centre observational study of retrievals for severe respiratory failure over 12months. Our intensivist-delivered retrieval service has mobile extracorporeal membrane oxygenation capabilities. Sixty patients were analysed: 34 (57%) were female and the mean (SD) age was 44.1 (13.6)years. The mean (SD) PaO2/FIO2 ratio at referral was 10.2 (4.1)kPa and median (IQR [range]) Murray score was 3.25 (3.0-3.5 [1.5-4.0]). Forty-eight patients (80%) required veno-venous extracorporeal membrane oxygenation at the referring centre. There were no cannulation or extracorporeal membrane oxygenation-related complications. The median (IQR [range]) retrieval distance was 47.2(14.9-77.0 [2.3-342.0]) miles. There were no major adverse events during retrieval. Thirty-seven patients (77%) who received extracorporeal membrane oxygenation survived to discharge from the intensive care unit and 36 patients (75%) were alive after sixmonths. Senior intensivist-initiated and delivered mobile extracorporeal membrane oxygenation is safe and associated with a high incidence of survival.

引用

页码：707 / 714

页数：8

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