Machin David, Scott Richard, Hurst Aimee
Perfusion Department, Theatres, Glenfield Hospital, Leicester, United Kingdom.
J Extra Corpor Technol. 2007 Jun;39(2):99-102.
Extracorporeal membrane oxygenation (ECMO) is a technique for providing cardiac and/or pulmonary support. Many hospitals worldwide practice ECMO at some time, yet few centers are able to offer a portable ECMO service, with the United Kingdom being of no exception. We describe the first reported successful ground transfer of a 22-kg girl with suspected myocarditis, supported by veno-arterial ECMO between two hospitals within the United Kingdom (U.K.). A modified Falcon series 2 patient stretcher was used to transport the patient and house the ECMO hardware, consisting of a Levitronix Centri-Mag pump system, a Hico-variotherm 550 heater/cooler unit, and an oxygen supply. Design limitations and future technical recommendations of the portable ECMO system subsequent to clinical experience are discussed.
体外膜肺氧合(ECMO)是一种提供心脏和/或肺部支持的技术。全球许多医院都在某个时候开展ECMO治疗,但很少有中心能够提供便携式ECMO服务,英国也不例外。我们描述了首例报道的成功将一名疑似心肌炎的22公斤女童通过静脉-动脉ECMO在英国两家医院之间进行地面转运的案例。使用改良的Falcon系列2型病人担架来运送病人并安置ECMO硬件,该硬件包括Levitronix Centri-Mag泵系统、Hico-variotherm 550加热器/冷却器单元和氧气供应。讨论了临床经验后便携式ECMO系统的设计局限性和未来技术建议。