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Sen A, Blakeman S, DeValeria PA, Peworski D, Lanza LA, Downey FX, Alwardt CM, Dobberpuhl JG, DeMarco M, Callisen H, Shively J, McKay K, Singbartl K, Sell-Dottin KA, D’Cunha J, Patel BM. Practical Considerations for and Outcomes of Interfacility ECMO Transfer of Patients With COVID-19 During a Pandemic: Mayo Clinic Experience. Mayo Clin Proc Innov Qual Outcomes 2021; 5:525-531. [PMID: 33686378 PMCID: PMC7927641 DOI: 10.1016/j.mayocpiqo.2021.02.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023] Open
Abstract
Interfacility transport of a critically ill patient with acute respiratory distress syndrome (ARDS) may be necessary for a higher level of care or initiation of extracorporeal membrane oxygenation (ECMO). During the COVID-19 pandemic, ECMO has been used for patients with severe ARDS with successful results. Transporting a patient after ECMO cannulation by the receiving facility brings forth logistic challenges, including availability of adequate personal protective equipment for the transport team and hospital capacity management issues. We report our designated ECMO transport team's experience of 5 patients with COVID-19-associated severe ARDS after cannulation at the referring facility. Focusing on transport-associated logistics, creation of checklists, and collaboration with emergency medical services partners is necessary for safe and good outcomes for patients while maintaining team safety.
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Affiliation(s)
- Ayan Sen
- Department of Critical Care Medicine, Mayo Clinic Arizona, Phoenix
| | | | | | | | - Louis A. Lanza
- Department of Cardiothoracic Surgery, Mayo Clinic Arizona, Phoenix
| | | | - Cory M. Alwardt
- Department of Cardiothoracic Surgery, Mayo Clinic Arizona, Phoenix
| | | | | | | | | | - Kelly McKay
- Mayo Clinic Center for Military Medicine, Mayo Clinic Arizona, Phoenix
| | - Kai Singbartl
- Department of Cardiothoracic Surgery, Mayo Clinic Arizona, Phoenix
| | | | - Jonathan D’Cunha
- Department of Cardiothoracic Surgery, Mayo Clinic Arizona, Phoenix
| | - Bhavesh M. Patel
- Department of Critical Care Medicine, Mayo Clinic Arizona, Phoenix
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