Author/Authors :
Puslecki, Mateusz Department of Medical Rescue - Poznan University of Medical Sciences - Collegium Adama Wrzoska Rokietnicka Street 7 - Poznan 60-806 - Poland - Department of Cardiac Surgery and Transplantology - Poznan University of Medical Sciences - Dluga Street 1/2 - Poznan 61–848 - Poland - Polish Society of Medical Simulation - Slupca - Poland , Baumgart, Konrad Department of Cardiac Surgery and Transplantology - Poznan University of Medical Sciences - Dluga Street 1/2 - Poznan 61–848 - Poland , Ligowski, Marcin Department of Cardiac Surgery and Transplantology - Poznan University of Medical Sciences - Dluga Street 1/2 - Poznan 61–848 - Poland , Dabrowski, Marek Polish Society of Medical Simulation - Slupca - Poland - Department of Medical Education - Poznan University of Medical Sciences - Collegium Adama Wrzoska Rokietnicka Street 7 - Poznan 60-806, Poland , Stefaniak, Sebastian Department of Cardiac Surgery and Transplantology - Poznan University of Medical Sciences - Dluga Street 1/2 - Poznan 61–848 - Poland , Ladzinska, Malgorzata Department of Cardiac Surgery and Transplantology - Poznan University of Medical Sciences - Dluga Street 1/2 - Poznan 61–848 - Poland , Goszczynska, Ewa Department of Cardiac Surgery and Transplantology - Poznan University of Medical Sciences - Dluga Street 1/2 - Poznan 61–848 - Poland , Marcinkowski, Pawel Department of Cardiac Surgery and Transplantology - Poznan University of Medical Sciences - Dluga Street 1/2 - Poznan 61–848 - Poland , Olasinska-Wisniewska, Anna Department of Cardiac Surgery and Transplantology - Poznan University of Medical Sciences - Dluga Street 1/2 - Poznan 61–848 - Poland , Klosiewicz, Tomasz Department of Medical Rescue - Poznan University of Medical Sciences - Collegium Adama Wrzoska Rokietnicka Street 7 - Poznan 60-806 - Poland , Pawlak, Aleksander Voivodeship Emergency Station - Poznan - Poland , Zielinski, Marcin Voivodeship Emergency Station - Poznan - Poland - Department of Medical Rescue - Poznan University of Medical Sciences - Collegium Adama Wrzoska Rokietnicka Street 7 - Poznan 60-806 - Poland , Puslecki, Lukasz Department of International Management - Poznan University of Economics and Business - 10 Niepodleglosci Av., Poznan 61-875 - Poland , Podlewski, Roland Department of Medical Rescue - Poznan University of Medical Sciences - Collegium Adama Wrzoska Rokietnicka Street 7 - Poznan 60-806 - Poland , Szarpak, Lukasz Sklodowska-Curie Medical Academy - 12 Solidarnosci Av., Warsaw 03-411 - Poland , Jemielity, Marek Department of Cardiac Surgery and Transplantology - Poznan University of Medical Sciences - Dluga Street 1/2 - Poznan 61–848 - Poland , Perek, Bartlomiej Department of Cardiac Surgery and Transplantology - Poznan University of Medical Sciences - Dluga Street 1/2 - Poznan 61–848 - Poland
Abstract :
Background. Extracorporeal membrane oxygenation (ECMO) has been proven to support in lifesaving rescue therapy. the best outcomes can be achieved in high-volume ECMO centers with dedicated emergency transport teams. Aim. 'e aim of this study
was to analyze the safety of ECMO support during medical transfer on the basis of our experience developed on innovation
cooperation and review of literature. Methods. A retrospective analysis of our experience of all ECMO-supported patients
transferred from regional hospital of the referential ECMO center between 2015 and 2020 was carried out. Special attention was
paid to transportation-related mortality and morbidity. Moreover, a systematic review of the Medline, Embase, Cochrane, and
Google Scholar databases was performed. It included the original papers published before the end of 2019. Results. Twelve (5
women and 7 men) critically ill ECMO-supported patients with the median age of 33 years (2–63 years) were transferred to our
ECMO center. In 92% (n � 11) of the cases venovenous and in 1 case, venoarterial supports were applied. 'e median transfer
length was 45 km (5–200). 'ere was no mortality during transfer and no serious adverse events occurred. Of note, the first
ECMO-supported transfer had been proceeded by high-fidelity simulations. For our systematic review, 68 articles were found and
22 of them satisfied the search criteria. A total number of 2647 transfers were reported, mainly primary (90%) and as ground
transportations (91.6%). A rate of adverse events ranged from 1% through 20% but notably only major complications were
mentioned. 'e 4 deaths occurred during transport (mortality 0.15%). Conclusions. Our experiences and literature review showed that transportation for ECMO patients done by experienced staff was associated with low mortality rate but life-threatening adverse events might occur. Translational simulation is an excellent probing technique to improve transportation safety.
Keywords :
Patient Safety , ECMO Transportation , Literature Review , Extracorporeal membrane oxygenation
