Transportation of patients with severe respiratory failure on ECMO support. Four-year experience of a single
ECMO center

Elżbieta Rypulak; Marta Szczukocka; Klaudia Zyzak; Paweł Piwowarczyk; Michał Borys; Mirosław Czuczwar

doi:10.5114/ait.2020.94501

eISSN: 1731-2531
ISSN: 1642-5758

Anaesthesiology Intensive Therapy

Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Subscription Contact Instructions for authors Publication charge Ethical standards and procedures

Editorial System

Submit your Manuscript

Open access

Journal integrated with

2/2020
vol. 52

Send email

Copy url:

abstract:

Original paper

Transportation of patients with severe respiratory failure on ECMO support. Four-year experience of a single ECMO center

Elżbieta Rypulak

¹

,

Marta Szczukocka

¹

,

Klaudia Zyzak

¹

,

Paweł Piwowarczyk

¹

,

Michał Borys

¹

,

Mirosław Czuczwar

¹

2nd Department of Anesthesiology and Intensive Care, Medical University of Lublin, Lublin, Poland

Anaesthesiol Intensive Ther 2020; 52, 2: 91–96

DOI: https://doi.org/10.5114/ait.2020.94501

Online publish date: 2020/04/18

View full text Get citation

PlumX metrics:

Background
Acute respiratory distress syndrome (ARDS) is associated with high mortality despite advances in the field of critical care, including growing implementation of veno-venous extracorporeal membrane oxygenation (V-V ECMO) support. The primary aim of this study was to present complications during transport on V-V ECMO support from regional hospitals to a tertiary center. The secondary goal was to identify initial laboratory and demographic data differentiating survivors and non-survivors.

Methods
This was a retrospective, single-center, case-series study. We extracted data from the hospital’s ECMO database from March 2016 to June 2019. Patients’ diagnosis at admission, baseline demographics, the Sequential Organ Failure Assessment (SOFA) and the Respiratory ECMO Survival Prediction (RESP) scoring systems, laboratory parameters at admission, duration of ECMO therapy and mechanical ventilation time, and the patient survival rate until the ICU discharge were analyzed.

Results
We assessed 31 patients retrieved from regional intensive care units. All analyzed transports on V-V ECMO were performed by an ambulance and median distance and transport time were 100 kilometers and 70 minutes, respectively. Minor complications during the transport were reported in 10 cases (32.25%). The mean V-V ECMO support time was 6.56 days and survival rate until the patient discharge was 64.51%. We found higher body mass index (33.5 vs. 26.5, P = 0.00251) and lower serum lactate level (1.25 vs. 1.6, P = 0.0058) at V-V ECMO initiation to correlate with higher survival rates.

Conclusions
The transport of patients on V-V ECMO support appears to be safe and feasible. Further studies are needed to identify the specific clinical conditions which might affect the final outcomes.

keywords:

Transportation of patients with severe respiratory failure on ECMO support. Four-year experience of a single ECMO center

Elżbieta Rypulak 1 , Marta Szczukocka 1 , Klaudia Zyzak 1 , Paweł Piwowarczyk 1 , Michał Borys 1 , Mirosław Czuczwar 1

extracorporeal membrane oxygenation (ECMO), transport, safety, respiratory failure, acute

Elżbieta Rypulak

¹

,

Marta Szczukocka

¹

,

Klaudia Zyzak

¹

,

Paweł Piwowarczyk

¹

,

Michał Borys

¹

,

Mirosław Czuczwar

¹