Sams Valerie G, Anderson Jess, Hunninghake John, Gonzales Michael
Department of Surgery, Trauma Critical Care, Brooke Army Medical Center, Ft Sam, Houston, TX USA.
Department of Medicine, Pulmonary Critical Care, Brooke Army Medical Center, Ft Sam, Houston, TX USA.
Curr Trauma Rep. 2022;8(4):246-258. doi: 10.1007/s40719-022-00245-1. Epub 2022 Oct 20.
The authors' experience as a part of the U.S. Military ECMO program to include the challenges and successes learned from over 200 transports via ground and air is key to the expertise provided to this article. We review the topic of ECMO transport from a historical context in addition to current capabilities and significant developments in transport logistics, special patient populations, complications, and our own observations and approaches to include team complement and feasibility.
ECMO has become an increasingly used resource during the last couple of decades with considerable increase during the Influenza pandemic of 2009 and the current COVID-19 pandemic. This has led to a corresponding increase in the air and ground transport of ECMO patients.
As centralized ECMO resources become available at health care centers, the need for safe and effective transport of patients on ECMO presents an opportunity for ongoing evaluation and development of safe practices.
作者作为美国军事体外膜肺氧合（ECMO）项目的一部分，经历了包括从200多次地面和空中转运中吸取的挑战与成功经验，这是为本文提供专业知识的关键。除了当前的能力以及转运物流、特殊患者群体、并发症方面的重大进展外，我们还从历史背景回顾了ECMO转运这一主题，以及我们自己在团队组成和可行性等方面的观察与方法。
在过去几十年中，ECMO已成为越来越常用的资源，在2009年流感大流行和当前的新冠疫情期间使用量大幅增加。这导致了ECMO患者空中和地面转运的相应增加。
随着医疗保健中心有了集中的ECMO资源，安全有效地转运接受ECMO治疗的患者的需求为持续评估和制定安全操作提供了契机。
