• J. Cardiothorac. Vasc. Anesth. · Jun 2018

    Does a Mobile ECLS Program Reduce Mortality for Patients Transported for ECLS Therapy for Severe Acute Respiratory Failure?

    • Jacob T Gutsche, Todd A Miano, William Vernick, Jesse Raiten, Christian Bermudez, Prashant Vallabjoysula, Karianna Milewski, Wilson Szeto, Meghan Lane Fall, Matthew L Williams, Prakash Patel, Mark E Mikkelsen, Cornel Chiu, Harish Ramakrishna, Jeremy Canon, and John G Augoustides.
    • Department of Anesthesiology and Critical Care, University of Pennsylvania Health System, Philadelphia, PA. Electronic address: jacob.gutsche@uphs.upenn.edu.
    • J. Cardiothorac. Vasc. Anesth. 2018 Jun 1; 32 (3): 1137-1141.

    ObjectiveTo understand if mobile extracorporeal membrane oxygenation reduces patient mortality during and after transport of patients requiring extracorporeal membrane oxygenation for acute respiratory distress syndrome.DesignRetrospective chart review.SettingUniversity affiliated tertiary care hospitals.ParticipantsSeventy-seven patients.InterventionsIntroduction of a mobile extracorporeal membrane oxygenation (ECMO) program designed to facilitate the implementation of ECMO at outside hospitals in patients too unstable for transport for ECMO.Measurements And Main ResultsThe 28-day in-hospital mortality was significantly lower in the post-mobile group (12/51 [23.5%] v 12/24 [50%], adjusted risk difference: 28.6%, [95% CI 4.7-52.5, p = 0.011]).ConclusionsThese findings suggest that patients with severe acute respiratory failure who require transport to a referral center for extracorporeal life support may benefit from the availability of a mobile extracorporeal life support team.Copyright © 2017 Elsevier Inc. All rights reserved.

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