Does a Mobile ECLS Program Reduce Mortality for Patients Transported for ECLS Therapy for Severe Acute Respiratory Failure?

被引：8

作者：

Gutsche, Jacob T. ^{[1
]}

Miano, Todd A. ^{[2
]}

Vemick, William ^{[1
]}

Raiten, Jesse ^{[1
]}

Bermudez, Christian ^{[3
]}

Vallabjoysula, Prashant ^{[3
]}

Milewski, Karianna ^{[3
]}

Szeto, Wilson ^{[3
]}

Fall, Meghan Lane ^{[1
]}

Williams, Matthew L. ^{[3
]}

Patel, Prakash ^{[1
]}

Mikkelsen, Mark E. ^{[4
]}

Chiu, Cornel ^{[5
]}

Ramakrishna, Harish ^{[6
]}

Canon, Jeremy ^{[7
]}

Augoustides, John G. ^{[1
]}

机构：

[1] Univ Penn Hlth Syst, Dept Anesthesiol & Crit Care, Philadelphia, PA USA

[2] Univ Penn, Ctr Clin Epidemiol & Biostat, Perelman Sch Med, Philadelphia, PA 19104 USA

[3] Univ Penn Hlth Syst, Dept Surg, Div Cardiovasc Surg, Philadelphia, PA USA

[4] Univ Penn Hlth Syst, Dept Med, Pulm Allergy & Crit Care Div, Philadelphia, PA USA

[5] Drexel Univ, Coll Med, Philadelphia, PA 19104 USA

[6] Mayo Clin, Dept Anesthesiol, Scottsdale, AZ USA

[7] Univ Penn Hlth Syst, Div Traumatol Surg Crit Care & Emergency Surg, Philadelphia, PA USA

来源：

JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA | 2018年 / 32卷 / 03期

关键词：

ECLS; ECMO; extracorporeal life support; extracorporeal membrane oxygenation; ARDS; acute respiratory distress syndrome; mobile ECMO; mobile life support; transport; EXTRACORPOREAL MEMBRANE-OXYGENATION; 2009 INFLUENZA A(H1N1); DISTRESS-SYNDROME; LIFE-SUPPORT; VOLUME; ORGANIZATION; VENTILATION; EXPERIENCE; IMPACT;

D O I：

10.1053/j.jvca.2017.08.050

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Objective: To understand if mobile extracorporeal membrane oxygenation reduces patient mortality during and after transport of patients requiring extracorporeal membrane oxygenation for acute respiratory distress syndrome. Design: Retrospective chart review. Setting: University affiliated tertiary care hospitals. Participants: Seventy-seven patients. Interventions: Introduction of a mobile extracorporeal membrane oxygenation (ECMO) program designed to facilitate the implementation of ECMO at outside hospitals in patients too unstable for transport for ECMO. Measurements and Main Results: The 28-day in-hospital mortality was significantly lower in the post-mobile group (12/51 [23.5%] v 12/24 [50%], adjusted risk difference: 28.6%, [95% CI 4.7-52.5, p = 0.011]). Conclusions: These findings suggest that patients with severe acute respiratory failure who require transport to a referral center for extracorporeal life support may benefit from the availability of a mobile extracorporeal life support team. (C) 2017 Elsevier Inc. All rights reserved.

引用

页码：1137 / 1141

页数：5

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