TY - JOUR
T1 - Safety and outcomes of mobile ECMO using a bicaval dual-stage venous catheter
AU - Kanji, Hussein D.
AU - Chouldechova, Alexandra
AU - Harvey, Chris
AU - O'Dea, Ephraim
AU - Faulkner, Gail
AU - Peek, Giles
N1 - Publisher Copyright:
© 2017 by the ASAIO.
PY - 2017/6/1
Y1 - 2017/6/1
N2 - There is little published data on the safety and effectiveness of mobile (inter-hospital) extracorporeal membrane oxygenation (ECMO) in adults, particularly focusing on the cannulation strategy, We sought to study the outcomes of patients cannulated with a bicaval dual lumen catheter needing mobile compared with conventional ECMO, Specifically, we evaluated the safety of using this cannulation strategy during initiation, in transport and overall performance, Multivariate adjustment was performed to report on adjusted 6 month survival as well as complications and performance from cannulation and the ECMO run, A total of 170 consecutive patients (44 mobile ECMO, 126 conventional ECMO) with severe hypoxemic respiratory failure were included in our cohort from 2010 to 2014, Improved in-hospital survival and adjusted lower 6 month mortality favored the mobile ECMO group (86% vs, 79%; odds ratio [OR] 0.24 [0.07-0.69]),
AB - There is little published data on the safety and effectiveness of mobile (inter-hospital) extracorporeal membrane oxygenation (ECMO) in adults, particularly focusing on the cannulation strategy, We sought to study the outcomes of patients cannulated with a bicaval dual lumen catheter needing mobile compared with conventional ECMO, Specifically, we evaluated the safety of using this cannulation strategy during initiation, in transport and overall performance, Multivariate adjustment was performed to report on adjusted 6 month survival as well as complications and performance from cannulation and the ECMO run, A total of 170 consecutive patients (44 mobile ECMO, 126 conventional ECMO) with severe hypoxemic respiratory failure were included in our cohort from 2010 to 2014, Improved in-hospital survival and adjusted lower 6 month mortality favored the mobile ECMO group (86% vs, 79%; odds ratio [OR] 0.24 [0.07-0.69]),
KW - Extracorporeal membrane oxygenation
KW - Hypoxia
KW - Patient transfer
KW - Respiratory tract diseases
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U2 - 10.1097/MAT.0000000000000482
DO - 10.1097/MAT.0000000000000482
M3 - Article
C2 - 27922881
AN - SCOPUS:85002410466
SN - 1058-2916
VL - 63
SP - 351
EP - 355
JO - ASAIO Journal
JF - ASAIO Journal
IS - 3
ER -