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首页> 外文期刊>Artificial Organs >Retrieval of Adult Patients on Extracorporeal Membrane Oxygenation by an Intensive Care Physician Model
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Retrieval of Adult Patients on Extracorporeal Membrane Oxygenation by an Intensive Care Physician Model

机译：重症监护医师模型检索成人患者体外膜氧合

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Abstract The optimal staffing model during the inter‐hospital transfer of patients on extracorporeal membrane oxygenation (ECMO) is not known. We report the complications and outcomes of patients who were commenced on ECMO at a referring hospital by intensive care physicians and compare these findings with patients who had ECMO established at an ECMO center in Australia. This was a single center, retrospective observational study based on a prospectively collected ECMO database from Melbourne, Australia. Patients with severe cardiac and/or respiratory failure failing conventional supportive treatment between 2007–2013 were placed on ECMO via a physician‐led model of ECMO retrieval, including two intensivists in a four person team, using percutaneous ECMO cannulation. Patients (198) underwent ECMO over the study period, of which 31% were retrieved. Veno‐venous (VV)‐ECMO and veno‐arterial (VA)‐ECMO accounted for 27 and 73% respectively. The VA‐ECMO patients had more intra‐transport interventions compared with VV‐ECMO transported patients, but none resulting in serious morbidity or death. There was no overall difference in survival at 6 months between retrieved and?ECMO center patients: VV‐ECMO (75 vs. 70%, P ?=?0.690) versus VA‐ECMO (70 vs. 68%, P ?=?1.000). An intensive care physician‐led team was able to safely place all critically ill patients on ECMO and retrieve them to an ECMO center. This may be an appropriate staffing model for ECMO retrieval.
机译：摘要尚不清楚患者患者医院间转移期间的最佳人员模型尚不清楚。我们报告了在由强化护理医生在转介医院开始ECMO的患者的并发症和结果，并将这些调查结果与在澳大利亚的ECMO中心建立的ECMO患者进行比较。这是一项来自澳大利亚墨尔本的预期收集的Ecmo数据库的回顾性观测研究。通过Ecmo检索的医生LED模型将患有严重的心脏和/或呼吸衰竭失败的患者在2007-2013之间置于ECMO上，包括四人团队中的两个强度，使用经皮ECMO插管。患者（198）在研究期间接受了ECMO，其中31％被检测到。静脉静脉（VV）-ECMO和静脉动脉（VA）-ECMO分别占27和73％。与VV-ECMO运输的患者相比，VA-ECMO患者有更多的交通工程干预措施，但没有导致严重的发病率或死亡。在检索和欧洲患者之间的6个月内没有总体差异：VV-ECMO（75 vs. 70％，P？= 0.690）与VA-ECMO（70 vs. 68％，P？=？1.000 ）。一个重症监护医师 - LED团队能够在Ecmo上安全地将所有严重的病人放在Ecmo上，并将其检索到Ecmo中心。这可能是Ecmo检索的适当人员配置模型。

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