Format

Send to

Choose Destination
J Cardiothorac Vasc Anesth. 2016 Dec;30(6):1441-1448. doi: 10.1053/j.jvca.2016.06.005. Epub 2016 Jun 8.

Mobile Extracorporeal Membrane Oxygenation Teams: The North American Versus the European Experience.

Author information

1
Department of Anesthesiology, Yale School of Medicine, New Haven, CT.
2
Department of Anesthesiology, Yale School of Medicine, New Haven, CT. Electronic address: robert.schonberger@yale.edu.

Abstract

OBJECTIVE:

To evaluate differences in the inclusion of anesthesiologists in mobile extracorporeal membrane oxygenation (ECMO) teams between North American and European centers.

DESIGN:

A retrospective review of North American versus European mobile ECMO teams. The search terms used to identify relevant articles were the following: "extracorporeal membrane transport," "mobile ECMO," and "interhospital transport."

SETTING:

MEDLINE review of articles.

PARTICIPANTS:

None.

INTERVENTIONS:

None.

RESULTS:

Between 1986 and 2015, 25 articles were published that reported the personnel makeup of mobile ECMO teams in North America and Europe: 6 from North American centers and 19 from European centers. The included articles reported a total of 1,329 cases: 389 (29%) adult-only cohorts and 940 (71%) mixed-age cohorts. Among North American studies, 0 of 6 (0%) reported the presence of an anesthesiologist on the mobile ECMO team in contrast to European studies, in which 10 of 19 (53%) reported the inclusion of an anesthesiologist (Fisher exact p for difference = 0.05). In terms of number of cases, this discrepancy translated to 543 total cases in North America (all without an anesthesiologist) and 499 cases in Europe (37%) including an anesthesiologist on the team (Fisher exact p for difference<0.001).

CONCLUSIONS:

This study demonstrated significant geographic discrepancies in the inclusion of anesthesiologists on mobile ECMO teams, with European centers more likely to incorporate an anesthesiologist into the mobile ECMO process compared with North American centers.

KEYWORDS:

anesthesiology; extracorporeal membrane oxygenation; mobile ECMO

PMID:
27686513
PMCID:
PMC5130610
DOI:
10.1053/j.jvca.2016.06.005
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Elsevier Science Icon for PubMed Central
Loading ...
Support Center