Capabilities of a mobile extracorporeal membrane oxygenation service for severe respiratory failure delivered by intensive care specialists
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 ) PaO 2 /F I O 2 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..
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
2015 |
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| Erschienen: |
2015 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:70 |
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| Enthalten in: |
Anaesthesia - 70(2015), 6, Seite 707-714 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Sherren, P. B [VerfasserIn] |
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| Links: |
Volltext |
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| doi: |
10.1111/anae.13014 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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OLC1965500870 |
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| 520 | |a 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 ) PaO 2 /F I O 2 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. | ||
| 540 | |a Nutzungsrecht: © 2015 The Association of Anaesthetists of Great Britain and Ireland | ||
| 540 | |a © 2015 The Association of Anaesthetists of Great Britain and Ireland. | ||
| 650 | 4 | |a Respiratory Insufficiency - therapy | |
| 650 | 4 | |a Multiple Organ Failure - therapy | |
| 650 | 4 | |a Intensive Care - manpower | |
| 650 | 4 | |a Mobile Health Units - organization & administration | |
| 650 | 4 | |a Mobile Health Units - manpower | |
| 650 | 4 | |a Critical Care - statistics & numerical data | |
| 650 | 4 | |a Extracorporeal Membrane Oxygenation - methods | |
| 650 | 4 | |a Intensive Care - methods | |
| 650 | 4 | |a Intensive care | |
| 650 | 4 | |a Anesthesia | |
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| 700 | 1 | |a Glover, G. W |4 oth | |
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| 700 | 1 | |a Langrish, C |4 oth | |
| 700 | 1 | |a Ioannou, N |4 oth | |
| 700 | 1 | |a Wyncoll, D |4 oth | |
| 700 | 1 | |a Daly, K |4 oth | |
| 700 | 1 | |a Gooby, N |4 oth | |
| 700 | 1 | |a Agnew, N |4 oth | |
| 700 | 1 | |a Barrett, N. A |4 oth | |
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