Rambaud Jerome, Léger Pierre L, Porlier Ludovic, Larroquet Michelle, Raffin Herve, Pierron Charlotte, Walti Herve, Carbajal Ricardo
1 Pediatric Intensive Care Unit, Armand-Trousseau Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
2 Pediatric Surgery Department, Armand-Trousseau Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
Perfusion. 2017 Apr;32(3):253-255. doi: 10.1177/0267659116667805. Epub 2016 Sep 24.
Refractory severe hemodynamic or respiratory failure may require extracorporeal membrane oxygenation (ECMO). Since some patients are too sick to be transported safely to a referral ECMO center on conventional transportation, mobile ECMO transport teams have been developed. The experiences of some ECMO transport teams have already been reported, including air and international transport. We report the first French pediatric international ECMO transport by aircraft. This case shows that a long distance intervention of the pediatric ECMO transport team is feasible, even in an international setting. Long distance ECMO transportations are widely carried out for adults, but remain rare in neonates and children.
难治性严重血流动力学或呼吸衰竭可能需要体外膜肺氧合(ECMO)。由于一些患者病情过重,无法通过传统运输方式安全转运至转诊ECMO中心,因此已组建了移动ECMO运输团队。一些ECMO运输团队的经验已有报道,包括空中运输和国际运输。我们报告了首例法国儿科国际ECMO空中运输案例。该案例表明,儿科ECMO运输团队进行长途干预是可行的,即使是在国际环境下。成人的长途ECMO运输广泛开展,但在新生儿和儿童中仍然少见。