Mobile ECMO retrieval of patients during the COVID-19 pandemic.
Aged
COVID-19
/ diagnosis
Extracorporeal Membrane Oxygenation
/ adverse effects
Female
Health Services Needs and Demand
Humans
Infectious Disease Transmission, Patient-to-Professional
/ prevention & control
Male
Middle Aged
Mobile Health Units
Occupational Exposure
/ prevention & control
Personal Protective Equipment
Referral and Consultation
Retrospective Studies
Time Factors
Transportation of Patients
Treatment Outcome
COVID-19
ECMO
mobile ECMO retrieval
Journal
Artificial organs
ISSN: 1525-1594
Titre abrégé: Artif Organs
Pays: United States
ID NLM: 7802778
Informations de publication
Date de publication:
Oct 2021
Oct 2021
Historique:
revised:
04
05
2021
received:
15
04
2021
accepted:
02
06
2021
pubmed:
29
6
2021
medline:
16
9
2021
entrez:
28
6
2021
Statut:
ppublish
Résumé
ECMO support is particularly resource-intensive and should be provided in highly specialized centers. Occasionally, ECMO needs to be initiated in non-ECMO centers by mobile ECMO retrieval teams. Subsequently, patients must be transferred on ECMO to the ECMO center. We report single-center data from out-of-center initiations of ECMO during the COVID-19 pandemic. From March 2020 through February 2021, nine patients were connected to ECMO before transfer to our center. Median travel distance (IQR) from the referring hospital to our center was 66 km (20-92), median land travel time (IQR) was 51 minutes (26-92). Personal protective equipment was available for all team members and used throughout the missions. No infections of team members with SARS-CoV-2 occurred. Three patients survived until hospital discharge. Median duration of ECMO (IQR) was 18 days (2-78) in survivors and 19 days (9-42) in non-survivors, respectively. Out-of-center initiation of ECMO during the COVID-19 pandemic was feasible and safe for patients and staff.
Identifiants
pubmed: 34181752
doi: 10.1111/aor.14030
pmc: PMC8444864
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1168-1172Informations de copyright
© 2021 The Authors. Artificial Organs published by International Center for Artificial Organ and Transplantation (ICAOT) and Wiley Periodicals LLC.
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