title: [Interhospital transport with extracorporeal life support: results and perspectives after 5 years experience].
abstract: OBJECTIVE
  Describing the experience of a referral center for interhospital patients transport treated with extracorporeal circulatory or respiratory support (ECLS), the difficulties encountered and the results obtained.
  
  
  METHODS
  Retrospective and observational study.
  
  
  METHODS
  All patients with respiratory or circulatory failure accepted for extracorporeal assistance for which routine medical transport was life threatening.
  
  
  METHODS
  A descriptive analysis was performed (median and interquartile deviation). Comparison of biological data was performed using a non-parametric Wilcoxon test and 5 years overall survival was determined by a Kaplan-Meier analysis.
  
  
  RESULTS
  Over a 55-month period, 29 patients were selected for transportation under ECMO or ECLS. Indication was respiratory failure in 38 % of cases, hemodynamic instability in 52 % of cases and combined symptoms in 10 % of cases. Average duration of transportation was 40 km (9-64 km). No complication related to transport was observed. Incidence of intrahospital death was 57 %. There was no correlation between death and indication of ECLS. Five-year survival was 55 % and 39 % for venovenous and arteriovenous ECLS, respectively.
  
  
  CONCLUSIONS
  In our experience, interhospital transport of patients under ECMO is feasible in satisfactory conditions of safety with trained team and standard procedures.
authors.affiliation: Service d'anesthésie-réanimation, hôpital cardiovasculaire et pneumologique Louis-Pradel, hospices civils de Lyon, 28, avenue du Doyen-Lépine, 69677 Bron cedex, France.
authors.forename: O
authors.initials: O
authors.lastname: Desebbe
authors.forename: P
authors.initials: P
authors.lastname: Rosamel
authors.forename: R
authors.initials: R
authors.lastname: Henaine
authors.forename: M
authors.initials: M
authors.lastname: Vergnat
authors.forename: F
authors.initials: F
authors.lastname: Farhat
authors.forename: P Y
authors.initials: PY
authors.lastname: Dubien
authors.forename: O
authors.initials: O
authors.lastname: Bastien
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001794:Blood Pressure / Q000502:physiology; D004636:Emergency Service, Hospital; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D053118:Influenza A Virus, H1N1 Subtype; D007251:Influenza, Human / Q000628:therapy; D008297:Male; D008875:Middle Aged; D008952:Mobile Health Units; D009102:Multiple Organ Failure / Q000628:therapy; D010100:Oxygen / Q000097:blood; D010360:Patient Transfer; D012121:Respiration, Artificial; D012131:Respiratory Insufficiency / Q000628:therapy; D012151:Resuscitation; D012189:Retrospective Studies; D012307:Risk Factors; D012449:Safety; D012770:Shock, Cardiogenic / Q000628:therapy; D015996:Survival Rate; D013997:Time Factors; D000078329:Workforce; D055815:Young Adult
chemical_list: D010100:Oxygen