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Extracorporeal membrane oxygenation retrieval factors and survival to intensive care unit discharge
Author(s) -
Kennedy Lucy,
Wrigley Scott,
Kennedy Marcus,
Pellegrino Vincent
Publication year - 2019
Publication title -
emergency medicine australasia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.602
H-Index - 52
eISSN - 1742-6723
pISSN - 1742-6731
DOI - 10.1111/1742-6723.13182
Subject(s) - medicine , extracorporeal membrane oxygenation , intensive care unit , intensive care medicine , oxygenation , emergency medicine
Objective Audit of extracorporeal membrane oxygenation (ECMO) retrieval service operating in Victoria, Australia, regarding retrieval factors and patient survival to intensive care unit (ICU) discharge. Methods Retrospective cohort analysis of Adult Retrieval Victoria ECMO retrievals with subsequent ICU admission ( n = 88) from January 2014 to December 2017. Results Complications occurring during veno‐arterial ECMO transfer have significant association with decreased survival to ICU discharge ( P = 0.012). Mortality for veno‐arterial ECMO patients was greater than veno‐venous ECMO patients. Conclusion Retrieval ECMO achieves similar survival outcomes to in‐house ECMO. The demonstrated relationship of adverse events during retrieval phase to subsequent mortality in ICU highlights the need for optimised case management and retrieval processes.