title: Capabilities of a mobile extracorporeal membrane oxygenation service for severe respiratory failure delivered by intensive care specialists.
abstract: We conducted a single-centre observational study of retrievals for severe respiratory failure over 12 months. Our intensivist-delivered retrieval service has mobile extracorporeal membrane oxygenation capabilities. Sixty patients were analysed: 34 (57%) were female and the mean (SD) age was 44.1 (13.6) years. The mean (SD) PaO2 /FI O2 ratio at referral was 10.2 (4.1) kPa and median (IQR [range]) Murray score was 3.25 (3.0-3.5 [1.5-4.0]). Forty-eight patients (80%) required veno-venous extracorporeal membrane oxygenation at the referring centre. There were no cannulation or extracorporeal membrane oxygenation-related complications. The median (IQR [range]) retrieval distance was 47.2 (14.9-77.0 [2.3-342.0]) miles. There were no major adverse events during retrieval. Thirty-seven patients (77%) who received extracorporeal membrane oxygenation survived to discharge from the intensive care unit and 36 patients (75%) were alive after six months. Senior intensivist-initiated and delivered mobile extracorporeal membrane oxygenation is safe and associated with a high incidence of survival.
authors: Department of Critical Care, St. Thomas' Hospital, London, UK.
authors: P B
authors: PB
authors: Sherren
authors: Department of Critical Care, St. Thomas' Hospital, London, UK.
authors: S J
authors: SJ
authors: Shepherd
authors: Department of Critical Care, St. Thomas' Hospital, London, UK.
authors: G W
authors: GW
authors: Glover
authors: Department of Critical Care, St. Thomas' Hospital, London, UK.
authors: C I S
authors: CI
authors: Meadows
authors: Department of Critical Care, St. Thomas' Hospital, London, UK.
authors: C
authors: C
authors: Langrish
authors: Department of Critical Care, St. Thomas' Hospital, London, UK.
authors: N
authors: N
authors: Ioannou
authors: Department of Critical Care, St. Thomas' Hospital, London, UK.
authors: D
authors: D
authors: Wyncoll
authors: Department of Critical Care, St. Thomas' Hospital, London, UK.
authors: K
authors: K
authors: Daly
authors: Department of Clinical Perfusion, St. Thomas' Hospital, London, UK.
authors: N
authors: N
authors: Gooby
authors: Department of Clinical Perfusion, St. Thomas' Hospital, London, UK.
authors: N
authors: N
authors: Agnew
authors: Department of Critical Care, St. Thomas' Hospital, London, UK.
authors: N A
authors: NA
authors: Barrett
mesh_terms: D018806:APACHE; D000328:Adult; D003422:Critical Care / Q000379:methods* / Q000706:statistics & numerical data; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D008952:Mobile Health Units / Q000458:organization & administration*; D009102:Multiple Organ Failure / Q000628:therapy; D010820:Physicians; D012017:Referral and Consultation; D012129:Respiratory Function Tests; D012131:Respiratory Insufficiency / Q000628:therapy*; D012189:Retrospective Studies; D014187:Transportation of Patients; D016896:Treatment Outcome; D000078329:Workforce