Bjerke H S, Barcliff L, Foglia R P
Department of Surgery, University of Nevada School of Medicine, Las Vegas 89102.
Hawaii Med J. 1992 Dec;51(12):332-5.
Neonatal respiratory failure, no matter what the cause, may not always respond to standard mechanical ventilation techniques. Extracorporeal membrane oxygenation has emerged over the last 15 years as an adjunct to the treatment of these babies with a greater than 80% survival nationwide. Limited resources and personnel costs can be prohibitive, forcing regionalization of extracorporeal membrane oxygenation (ECMO) centers. Geographic distance from a center should not limit its potential application, however. Familiarity with the technique, early application of the modality and the availability of medical air transport, allows for referral and transfer of neonates over great distances with excellent results and outcomes. We present a case of respiratory failure in a neonate transported 2,500 miles for ECMO therapy with an excellent outcome and a rapid return home.
新生儿呼吸衰竭，无论病因如何，可能并不总是对标准机械通气技术有反应。在过去15年中，体外膜肺氧合已成为治疗这些婴儿的辅助手段，在全国范围内存活率超过80%。有限的资源和人员成本可能过高，迫使体外膜肺氧合（ECMO）中心实行区域化。然而，与中心的地理距离不应限制其潜在应用。熟悉该技术、早期应用该模式以及具备医疗航空运输条件，使得新生儿能够被转诊并远距离转运，结果良好。我们报告一例呼吸衰竭新生儿，被转运2500英里接受ECMO治疗，结果极佳，且很快就返回家中。
