Dataset Information

Characterization of patients transported with extracorporeal respiratory and/or cardiovascular support in the State of Sao Paulo, Brazil.

ABSTRACT:

Objective

To characterize the transport of severely ill patients with extracorporeal respiratory or cardiovascular support.

Methods

A series of 18 patients in the state of São Paulo, Brazil is described. All patients were consecutively evaluated by a multidisciplinary team at the hospital of origin. The patients were rescued, and extracorporeal membrane oxygenation support was provided on site. The patients were then transported to referral hospitals for extracorporeal membrane oxygenation support. Data were retrieved from a prospectively collected database.

Results

From 2011 to 2017, 18 patients aged 29 (25 - 31) years with a SAPS 3 of 84 (68 - 92) and main primary diagnosis of leptospirosis and influenza A (H1N1) virus were transported to three referral hospitals in São Paulo. A median distance of 39 (15 - 82) km was traveled on each rescue mission during a period of 360 (308 - 431) min. A median of one (0 - 2) nurse, three (2 - 3) physicians, and one (0 - 1) physical therapist was present per rescue. Seventeen rescues were made by ambulance, and one rescue was made by helicopter. The observed complications were interruption in the energy supply to the pump in two cases (11%) and oxygen saturation < 70% in two cases. Thirteen patients (72%) survived and were discharged from the hospital. Among the nonsurvivors, there were two cases of brain death, two cases of multiple organ dysfunction syndrome, and one case of irreversible pulmonary fibrosis.

Conclusions

Transportation with extracorporeal support occurred without serious complications, and the hospital survival rate was high.

SUBMITTER: Li HY

PROVIDER: S-EPMC6180471 | biostudies-literature | 2018 Jul-Sept

REPOSITORIES: biostudies-literature

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Publications

Characterization of patients transported with extracorporeal respiratory and/or cardiovascular support in the State of São Paulo, Brazil.

Li Ho Yeh HY Mendes Pedro Vitale PV Melro Livia Maria Garcia LMG Joelsons Daniel D Besen Bruno Adler Maccagnan Pinheiro BAMP Costa Eduardo Leite Viera ELV Hirota Adriana Sayuri AS Barbosa Edzangela Vasconcelos Santos EVS Foronda Flavia Krepel FK Azevedo Luciano Cesar Pontes LCP Romano Thiago Gomes TG Park Marcelo M

Revista Brasileira de terapia intensiva 20180701 3

<h4>Objective</h4>To characterize the transport of severely ill patients with extracorporeal respiratory or cardiovascular support.<h4>Methods</h4>A series of 18 patients in the state of São Paulo, Brazil is described. All patients were consecutively evaluated by a multidisciplinary team at the hospital of origin. The patients were rescued, and extracorporeal membrane oxygenation support was provided on site. The patients were then transported to referral hospitals for extracorporeal membrane ox ...[more]

PMID: 30328986

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