Details

Autor(en) / Beteiligte

• Sherren, P. B.
• Shepherd, S. J.
• Glover, G. W.
• Meadows, C. I. S.
• Langrish, C.
• Ioannou, N.
• Wyncoll, D.
• Daly, K.
• Gooby, N.
• Agnew, N.
• Barrett, N. A.

Titel

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

Ist Teil von

• Anaesthesia, 2015-06, Vol.70 (6), p.707-714

Ort / Verlag

England: Blackwell Publishing Ltd

Erscheinungsjahr

2015

Link zum Volltext

Quelle

MEDLINE

Beschreibungen/Notizen

• Summary We conducted a single‐centre observational study of retrievals for severe respiratory failure over 12 months. 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 six months. Senior intensivist‐initiated and delivered mobile extracorporeal membrane oxygenation is safe and associated with a high incidence of survival.