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Ann Fr Anesth Reanim. 2013 Apr;32(4):225-30. doi: 10.1016/j.annfar.2013.02.006. Epub 2013 Mar 15.

[Interhospital transport with extracorporeal life support: results and perspectives after 5 years experience].

[Article in French]

Author information

1
Service d'anesthésie-réanimation, hôpital cardiovasculaire et pneumologique Louis-Pradel, hospices civils de Lyon, 28, avenue du Doyen-Lépine, 69677 Bron cedex, France.

Abstract

OBJECTIVE:

Describing the experience of a referral center for interhospital patients transport treated with extracorporeal circulatory or respiratory support (ECLS), the difficulties encountered and the results obtained.

STUDY DESIGN:

Retrospective and observational study.

PATIENTS AND METHODS:

All patients with respiratory or circulatory failure accepted for extracorporeal assistance for which routine medical transport was life threatening.

STATISTICAL ANALYSIS:

A descriptive analysis was performed (median and interquartile deviation). Comparison of biological data was performed using a non-parametric Wilcoxon test and 5 years overall survival was determined by a Kaplan-Meier analysis.

RESULTS:

Over a 55-month period, 29 patients were selected for transportation under ECMO or ECLS. Indication was respiratory failure in 38 % of cases, hemodynamic instability in 52 % of cases and combined symptoms in 10 % of cases. Average duration of transportation was 40 km (9-64 km). No complication related to transport was observed. Incidence of intrahospital death was 57 %. There was no correlation between death and indication of ECLS. Five-year survival was 55 % and 39 % for venovenous and arteriovenous ECLS, respectively.

CONCLUSION:

In our experience, interhospital transport of patients under ECMO is feasible in satisfactory conditions of safety with trained team and standard procedures.

PMID:
23499393
DOI:
10.1016/j.annfar.2013.02.006
[Indexed for MEDLINE]
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