Lucchini A, De Felippis C, Elli S, Gariboldi R, Vimercati S, Tundo P, Bondi H, Costa M C
Intensive Care and Emergency Department, General Intensive Care Unit, University of Milan-Bicocca, San Gerardo Hospital, Monza, Italy.
Adult Intensive Care Unit, Glenfield Hospital, University Hospital of Leicester-NHS Trust, UK.
Heart Lung Vessel. 2014;6(4):262-73.
Transport of patients undergoing extracorporeal membrane oxygenation is currently available in 5 referral centers in our country.
Retrospective case series of patients managed by our mobile extracorporeal membrane oxygenation team and transferred to San Gerardo University Hospital from December 2004 to December 2012.
42 patients were transported. The mean age was 42.11 (standard deviation ±18.11) years, with a range between 2 years and 70. 14 patients were females (33%) and 28 males (67%). The average transport distance was 121.69 km (±183.08) with a range between 9 km and 1044 Km. The mission's mean time was equal to 508 minutes (±185) with range of 120-960 minutes. 29 patients (69%) were transported with extracorporeal membrane oxygenation support, while 13 patients (31%) were transported with conventional ventilation. In 28 patients (97%) a veno-venous bypass was utilized, while in one case (3%) a Veno-Arterial cannulation was performed. 32 patients survived (76%) and have been discharged alive from hospital. No major clinical or technical issues were observed during the transport.
According to our data, we conclude that a dedicated mobile team allowed safe ground transportation of patients with severe acute lung injury to our tertiary care institution.
我国目前有5个转诊中心可为接受体外膜肺氧合治疗的患者提供转运服务。
对2004年12月至2012年12月期间由我们的移动体外膜肺氧合团队管理并转运至圣杰拉尔多大学医院的患者进行回顾性病例系列研究。
共转运了42例患者。平均年龄为42.11岁(标准差±18.11),年龄范围在2岁至70岁之间。女性14例(33%),男性28例(67%)。平均转运距离为121.69公里(±183.08),范围在9公里至1044公里之间。任务平均时间为508分钟(±185),范围在120 - 960分钟之间。29例患者(69%)在体外膜肺氧合支持下转运,13例患者(31%)在传统通气支持下转运。28例患者(97%)采用静脉 - 静脉旁路,1例患者(3%)采用静脉 - 动脉插管。32例患者存活(76%)并已出院。转运过程中未观察到重大临床或技术问题。
根据我们的数据,我们得出结论,一个专门的移动团队能够将严重急性肺损伤患者安全地转运至我们的三级医疗机构。