tailieunhanh - Báo cáo y học: "Feasibility of inter-hospital transportation using extra-corporeal membrane oxygenation (ECMO) support of patients affected by severe swine-flu (H1N1)-related ARDS"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: "Feasibility of inter-hospital transportation using extra-corporeal membrane oxygenation (ECMO) support of patients affected by severe swine-flu (H1N1)-related ARDS | Ciapetti et al. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2011 19 32 http content 19 1 32 SCANDINAVIAN JOURNAL OF St emergency medicine ORIGINAL RESEARCH Open Access Feasibility of inter-hospital transportation using extra-corporeal membrane oxygenation ECMO support of patients affected by severe swine-flu H1N1 -related ARDS 1 I -1 7 1-1 r- f 2 1 1 Marco Ciapetti Giovanni Cianchi Giovanni Zagli Cesare Greco Andrea Pasquini Rosario Spina c Fz-xi-x r I - - 1 1 1 D r I ĩ ĩ r I I 1 l K x r r I fx D X -X I I 3 I I -X I TX xn4 Dn I IT 1 D xrxx 1 zz l zx nz XX r D XX r 1 Stefano Batacchi Manuela Bonizzoli Massimo Bonacchi Chiara Lazzeri Pasquale Bernardo and Adriano Peris Abstract Background To describe the organization of an ECMO-centre from triage by telephone to the phase of interhospital transportation with ECMO of patients affected by H1N1-induced ARDS describing techniques and equipment used. Methods From September 2009 to January 2010 18 patients with H1N1-induced ARDS were referred to our ECMO-centre from other hospitals. Six patients had contraindications to treatment with ECMO and remained in the local hospital. Twelve patients were transported to our centre and were included in this study. Four patients were transported on ECMO Group A and eight on conventional ventilation Group B . The groups were compared on the basis of adverse events during transport clinical characteristics and outcome. Results The PaO2 FiO2 ratio was lower in the patients of Group A vs median despite the PEEP values being higher vs median . The Murray score was higher in Group A vs median . During the transfer there were no significant complications noted in Group A whereas two patients in Group B were reported with hypoxia SpO2 90 . One patient in Group A died. All the other patients of the two groups have been discharged from hospital. Conclusions The creation of an ECMO team with various experts in the treatment of .