Extracorporeal membrane oxygenator rescue and airborne transportation of patients with influenza a (h1n1) acute respiratory distress syndrome in a mediterranean underserved area

Giuseppe D'Ancona, Guido Capitanio, Giuseppe Chiaramonte, Roberto Serretta, Marco Turrisi, Michele Pilato, Antonio Arcadipane

Research output: Contribution to journalArticle

Abstract

Adult respiratory distress syndrome (ARDS) secondary to H1N1 viral infection has been a worldwide medical and organizational challenge. We report our experience with extracorporeal membrane oxygenator (ECMO) rescue and transportation of patients with H1N1 ARDS within an insular and rural Mediterranean area of seven million inhabitants. A 24y7 on-call ECMO team was organized including one anesthesiologist, one cardiac surgeon, and one perfusionist. To limit missions' time to and from peripheral hospitals, airborne transportation with helicopter was the first choice. From November 2009 to January 2010, we performed 10 missions. Eight patients (80%) were placed on ECMO and transferred either on helicopter (70%) or with standard ambulance (10%). Average mission duration was nine hours (6-16 h). No complications secondary to the transportation means or to the ECMO were reported. Delivery of advanced medical technology can be achieved even in remote and underserved areas presenting geographical barriers. A multidisciplinary mobile ECMO team coordinated with adequate means of transportation could be routinely employed to rescue patients affected with other forms of severe acute hemodynamic andyor respiratory impairment. & copy; 2011 Published by European Association for Cardio-Thoracic Surgery.

Original languageEnglish
Pages (from-to)935-937
Number of pages3
JournalInteractive Cardiovascular and Thoracic Surgery
Volume12
Issue number6
DOIs
Publication statusPublished - Jun 2011

Keywords

  • Airborne
  • Extracorporeal membrane oxygenator
  • H1n1
  • Mobile team

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pulmonary and Respiratory Medicine
  • Surgery

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