title: Successful 2,000-Kilometer International Transfer of an Infant Receiving Extracorporeal Membrane Oxygenation for Severe Respiratory Failure.
abstract: There is minimal reported experience with long-range retrieval of pediatric patients receiving extracorporeal membrane oxygenation (ECMO) support. We report the case of a 10-month old boy with necrotizing staphylococcal pneumonia complicated by a bronchopleural fistula, who was successfully retrieved and transported while receiving ECMO to our unit in Sydney, Australia, from a referring hospital 2,000 kilometers away in the Pacific Islands. He was successfully weaned from ECMO to receive single-lung ventilation after 13 days, and he underwent surgical repair of his bronchopleural fistula through a thoracotomy 3 days after decannulation. He has made a full recovery.
authors.affiliation: Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia.
authors.forename: Kilian
authors.initials: K
authors.lastname: Brown
authors.affiliation: Heart Centre for Children, The Children's Hospital at Westmead, Sydney, New South Wales, Australia.
authors.forename: Ben
authors.initials: B
authors.lastname: Dunne
authors.affiliation: Department of Paediatric Intensive Care, The Children's Hospital at Westmead, Sydney, New South Wales, Australia.
authors.forename: Marino
authors.initials: M
authors.lastname: Festa
authors.affiliation: Department of Paediatric Surgery, The Children's Hospital at Westmead, Sydney, New South Wales, Australia.
authors.forename: Erik
authors.initials: E
authors.lastname: La Hei
authors.affiliation: Department of Paediatric Surgery, The Children's Hospital at Westmead, Sydney, New South Wales, Australia.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Karpelowsky
authors.affiliation: Heart Centre for Children, The Children's Hospital at Westmead, Sydney, New South Wales, Australia.
authors.forename: Hayden
authors.initials: H
authors.lastname: Dando
authors.affiliation: Heart Centre for Children, The Children's Hospital at Westmead, Sydney, New South Wales, Australia. Electronic address: yishay.orr@health.nsw.gov.au.
authors.forename: Yishay
authors.initials: Y
authors.lastname: Orr
mesh_terms: D001983:Bronchial Fistula / Q000150:complications / Q000601:surgery*; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D038622:Internationality; D008297:Male; D009517:New South Wales; D010139:Pacific Islands; D012131:Respiratory Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D012720:Severity of Illness Index; D013908:Thoracotomy / Q000379:methods; D014187:Transportation of Patients / Q000379:methods*; D016896:Treatment Outcome