在心肺支持辅助下转运危重症儿童。
Transport of critically ill children on cardiopulmonary support assistance.
作者信息
Eldadah Maher K, Olsen Monica C, Fakioglu Harun, DeCampli William M
机构信息
Congenital Heart Institute at Arnold Palmer Hospital for Children, Orlando, Florida 32806, USA.
出版信息
J Extra Corpor Technol. 2010 Mar;42(1):80-3.
OBJECTIVE
To report two patients helicopter transport on mechanical cardiopulmonary support to a transplant center.
SETTING
Cardiac intensive care unit (CICU) and transport helicopter.
PATIENTS
A 9 kg and 22 kg children who suffer cardiac deterioration needing air transport on mechanical cardiopulmonary support.
INTERVENTIONS AND RESULTS
CPS was initiated to support these patients failing cardiac function. Transport on CPS of these two patients to a transplant institution was accomplished after determining that heart transplantation would be their more likely chance for recovery.
CONCLUSION
A cardiac deterioration event that will lead to the need for heart transplantation can be acute and sudden sparing no time for early referral to a transplant center. It is necessary for heart centers to have a plan of action to provide inter-hospital transport on cardiopulmonary support (CPS). This protocol can involve transport by the referral institution, the receiving institution or a third institution.
目的
报告两名在机械心肺支持下通过直升机转运至移植中心的患者。
背景
心脏重症监护病房（CICU）和运输直升机。
患者
两名分别为9千克和22千克的儿童，因心脏功能恶化需要在机械心肺支持下进行空中转运。
干预措施及结果
启动心肺支持（CPS）以支持这些心脏功能衰竭的患者。在确定心脏移植是他们更有可能的康复机会后，这两名患者在CPS支持下被转运至移植机构。
结论
导致需要进行心脏移植的心脏功能恶化事件可能是急性且突然的，没有时间提前转诊至移植中心。心脏中心有必要制定一项行动计划，以提供心肺支持（CPS）下的院际转运。该方案可由转诊机构、接收机构或第三方机构进行转运。
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