Capabilities of a mobile extracorporeal membrane oxygenation service for severe respiratory failure delivered by intensive care specialists

Summary 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...

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Bibliographic Details
Published in:	Anaesthesia Vol. 70; no. 6; pp. 707 - 714
Main Authors:	Sherren, P. B., Shepherd, S. J., Glover, G. W., Meadows, C. I. S., Langrish, C., Ioannou, N., Wyncoll, D., Daly, K., Gooby, N., Agnew, N., Barrett, N. A.
Format:	Journal Article
Language:	English
Published:	England Blackwell Publishing Ltd 01-06-2015
Subjects:	Adult Anesthesia APACHE Critical Care - manpower Critical Care - methods Critical Care - statistics & numerical data Extracorporeal Membrane Oxygenation - methods Female Humans Intensive care Length of Stay Male Middle Aged Mobile Health Units - manpower Mobile Health Units - organization & administration Multiple Organ Failure - therapy Physicians Referral and Consultation Respiratory Function Tests Respiratory Insufficiency - therapy Retrospective Studies Transportation of Patients Treatment Outcome
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Summary:	Summary 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) PaO2/FIO2 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.
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ISSN:	0003-2409 1365-2044
DOI:	10.1111/anae.13014