Original articleAdult cardiacTwo Decades’ Experience With Interfacility Transport on Extracorporeal Membrane Oxygenation
Section snippets
Patients and Methods
This study was approved by the University of Michigan Institutional Review Board (HUM00066861).
University of Michigan Experience
The University of Michigan ECMO staff completed 237 scene visits between 1990 and 2012 (Fig 1), and 220 patients on ECMO were successfully transported to our institution (Table 1). Ten did not require ECMO: 5 were transferred on a standard ventilator and the other 5 remained at their original institution. One patient was cannulated by our team at the request of an out-of-state regional hospital system and was successfully transferred to their tertiary care center. Four patients died after the
Comment
Although patient transport on ECMO was initially reported in 1986 [30], it was not widely performed until the 2000s, once more portable ECMO technology was developed and the infrastructure necessary for ECMO was established in a greater number of centers. Programs began to publish their experience with novel devices [31] and new patient care teams 16, 18, 19 for transport on ECMO. Other centers expanded their ECMO programs to serve specific patient populations 7, 13 or geographic areas with
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