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Capabilities of a mobile extracorporeal membrane oxygenation service for severe respiratory failure delivered by intensive care specialists.
- Source :
- Anaesthesia; Jun2015, Vol. 70 Issue 6, p707-714, 8p
- Publication Year :
- 2015
-
Abstract
- We conducted a single-centre observational study of retrievals for severe respiratory failure over 12 months. Our intensivist-delivered retrieval service has mobile extracorporeal membrane oxygenation capabilities. Sixty patients were analysed: 34 (57%) were female and the mean ( SD) age was 44.1 (13.6) years. The mean ( SD) PaO<subscript>2</subscript>/F<subscript>I</subscript>O<subscript>2</subscript> ratio at referral was 10.2 (4.1) kPa and median (IQR [range]) Murray score was 3.25 (3.0-3.5 [1.5-4.0]). Forty-eight patients (80%) required veno-venous extracorporeal membrane oxygenation at the referring centre. There were no cannulation or extracorporeal membrane oxygenation-related complications. The median (IQR [range]) retrieval distance was 47.2 (14.9-77.0 [2.3-342.0]) miles. There were no major adverse events during retrieval. Thirty-seven patients (77%) who received extracorporeal membrane oxygenation survived to discharge from the intensive care unit and 36 patients (75%) were alive after six months. Senior intensivist-initiated and delivered mobile extracorporeal membrane oxygenation is safe and associated with a high incidence of survival. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 00032409
- Volume :
- 70
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Anaesthesia
- Publication Type :
- Academic Journal
- Accession number :
- 102578999
- Full Text :
- https://doi.org/10.1111/anae.13014