Recomendaciones de consenso sobre el transporte de pacientes en ECMO de la Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias (SEMICYUC) y la Sociedad Española de Cuidados Intensivos Pediátricos (SECIP)

Argudo, Eduard; Hernández-Tejedor, A.; Hofheinz, Sylvia Belda; Fuset, María Paz; Sanchez-Galindo, Amelia C; Burgueño, P.; Ballcels, J; Duerto, Jorge; Martínez, Antonio Morales; Martínez-Martínez, María; Arizcuren, E. Morteruel; Pérez, Freddy; Vico, A. Díaz; Mateo-Sidrón, Jose Alfonso Rubio

doi:10.1016/j.medin.2022.03.010

Cited by 10 publications

(3 citation statements)

References 6 publications

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“…[22][23][24] Such a program would facilitate the use of helicopters or airplanes for longer distances, as suggested in the ELSO guidelines and the literature. 21,25,26 Another essential aspect is the challenge of assessing the patient's clinical severity and establishing the remote ECMO-indication, which requires a great deal of expertise. 12 Our indications are based on ELSO criteria but always follow a case-by-case approach, so that patients with a high risk of deterioration (e.g.…”

Section: Discussionmentioning

confidence: 99%

“…The only airplane transportation to an island (Mallorca) took place with the collaboration of the Spanish air force, using a medicalized aircraft (C-295). National ECMO transport guidelines 21 endorsed by the adult and pediatric intensive care societies have been recently published, establishing the needs for air transport depending on distance. We are working on the creation of a national plan, shortening response times and minimizing side effects, following the model of other European countries.…”

Section: Discussionmentioning

confidence: 99%

“…22–24 Such a program would facilitate the use of helicopters or airplanes for longer distances, as suggested in the ELSO guidelines and the literature. 21,25,26…”

Section: Discussionmentioning

confidence: 99%

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Primary neonatal and pediatric ECMO transport: First experience in Spain

et al. 2023

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Introduction The organization of primary Extracorporeal membrane oxygenation (ECMO) transport is highly variable. Methods To present the experience of the first mobile pediatric ECMO program in Spain, we designed a prospective descriptive study of all primary neonatal and pediatric (0–16 years) ECMO transports carried out over 10 years. The main variables recorded include demographic information, patient background, clinical data, ECMO indications, adverse events, and main outcomes. Results 39 primary ECMO transports were carried out with a 66.7% survival to hospital discharge. The median age was 1.24 months[IQR: 0.09–96]. Cannulation was mostly peripheral venoarterial (33/39). The mean response time from the call from the sending center to the departure of the ECMO team was 4 h[2.2–8]. The median inotropic score at the time of cannulation was 70[17.2–206.5], with a median oxygenation index of 40.5[29–65]. In 10% of the cases, ECMO-CPR was performed. Adverse events occurred in 56.4%, mostly related to the means of transport (40% overall). On arrival at the ECMO center, 44% of the patients underwent interventions. The median PICU stay was 20.5 days[11–32]. 5 patients developed neurological sequels. Statistically significant differences between survivors and deceased patients were not found. Conclusions A good survival rate, with a low prevalence of serious adverse events, suggests a clear benefit of primary ECMO transport when conventional therapeutic measures are exhausted and the patient is too unstable to undergo conventional transport. A nationwide primary ECMO-transport program must therefore be offered to all patients regardless of their location.

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