Capabilities of a mobile extracorporeal membrane oxygenation service for severe respiratory failure delivered by intensive care specialists
2015; Wiley; Volume: 70; Issue: 6 Linguagem: Inglês
10.1111/anae.13014
ISSN1365-2044
AutoresPeter Sherren, Stephen J. Shepherd, Guy Glover, Chris Meadows, Chris Langrish, Nicholas Ioannou, Duncan Wyncoll, Kathleen Daly, Nigel Gooby, Nicola Agnew, Nicholas Barrett,
Tópico(s)Cardiac Arrest and Resuscitation
ResumoSummary 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.
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