Heulitt M J, Taylor B J, Faulkner S C, Baker L L, Chipman C W, Harrell J H, VanDevanter S H
Department of Pediatrics, Arkansas Children's Hospital, Little Rock 72202, USA.
Pediatrics. 1995 Apr;95(4):562-6.
To describe the equipment, personnel requirements, training, management techniques, and logistic problems encountered in the design and implementation of a mobile extracorporeal membrane oxygenation (ECMO) program.
This is a report of a technique for the transport of patients on ECMO and a description of our retrospective case series.
The study was conducted at a regional referral children's hospital and ECMO unit.
Thirteen neonatal medical patients with acute respiratory failure were transported with mobile-ECMO.
Over a 24-month period, we transported 13 neonatal patients with mobile-ECMO. The reason for transport with mobile-ECMO was inability to convert from high-frequency ventilation (4 of 13), patient already on ECMO (1 of 13), and patient deemed too unstable for conventional transport (8 of 13). Eleven of the 13 patients were transported from other ECMO centers. Of the 13, 9 survived. No major complications during transport were reported for any of the patients. Follow-up data were available on all nine survivors of neonatal mobile-ECMO. Eight of these had normal magnetic resonance imaging scans of the brain; the ninth had a small hemorrhage in the left cerebellum.
Our limited series shows that patients can be safely transported with mobile-ECMO. This program does not replace the early appropriate transfer for ECMO-eligible patients to an ECMO center.
描述在设计和实施移动体外膜肺氧合（ECMO）项目过程中遇到的设备、人员要求、培训、管理技术及后勤问题。
这是一份关于ECMO支持下患者转运技术的报告及我们回顾性病例系列的描述。
研究在一家区域转诊儿童医院及ECMO中心开展。
13例患有急性呼吸衰竭的新生儿内科患者通过移动ECMO进行转运。
在24个月的时间里，我们通过移动ECMO转运了13例新生儿患者。采用移动ECMO转运的原因包括无法从高频通气转换过来（13例中的4例）、患者已在接受ECMO治疗（13例中的1例）以及患者被认为因病情过于不稳定而无法进行常规转运（13例中的8例）。13例患者中有11例是从其他ECMO中心转运过来的。13例患者中有9例存活。所有患者在转运过程中均未报告有重大并发症。对所有9例新生儿移动ECMO存活者均有随访数据。其中8例脑部磁共振成像扫描结果正常；第9例左侧小脑有小出血灶。
我们有限的病例系列表明，患者可通过移动ECMO安全转运。该项目并不能替代将符合ECMO治疗条件的患者尽早转运至ECMO中心。
