TY - JOUR
T1 - Intrahospital transport of children on extracorporeal membrane oxygenation
T2 - Indications, process, interventions, and effectiveness
AU - Prodhan, Parthak
AU - Fiser, Richard T.
AU - Cenac, Sophia
AU - Bhutta, Adnan T.
AU - Fontenot, Eudice
AU - Moss, Michelle
AU - Schexnayder, Stephen
AU - Seib, Paul
AU - Chipman, Carl
AU - Weygandt, Lauren
AU - Imamura, Michiaki
AU - Jaquiss, Robert D.B.
AU - Dyamenahalli, Umesh
PY - 2010/3
Y1 - 2010/3
N2 - OBJECTIVE:: To evaluate indications, process, interventions, and effectiveness of patients undergoing intrahospital transport. Critically ill patients supported with extracorporeal membrane oxygenation are transported within the hospital to the radiology suite, cardiac catheterization suite, operating room, and from one intensive care unit to another. No studies to date have systematically evaluated intrahospital transport for patients on extracorporeal membrane oxygenation. DESIGN:: Retrospective cohort analysis. SETTING:: Cardiac intensive care unit in a tertiary care children's hospital. PATIENTS:: All patients on extracorporeal membrane oxygenation who required intrahospital transport between January 1996 and March 2007 were included and analyzed. MEASUREMENTS AND MAIN RESULTS:: A total of 57 intrahospital transports for cardiac catheterization and head computed tomography scans were analyzed. In 14 (70%) of 20 of patients with cardiac catheterization, a management change occurred as a result of the diagnostic cardiac catheterization. In ten (59%) of 17 patients, bedside echocardiography was of limited value in defining the critical problem. In the interventional group, the majority of transports were for atrial septostomy. In the head computed tomography group, significant pathology was identified, which led to management change. No major complications occurred during these intrahospital transports. CONCLUSIONS:: Although transporting patients on extracorporeal membrane oxygenation is labor intensive and requires extensive logistic support, it can be carried out safely in experienced hands and it can result in important therapeutic and diagnostic yields. To our knowledge, this is the first study designed to evaluate safety and efficacy of intrahospital transport for patients receiving extracorporeal membrane oxygenation support.
AB - OBJECTIVE:: To evaluate indications, process, interventions, and effectiveness of patients undergoing intrahospital transport. Critically ill patients supported with extracorporeal membrane oxygenation are transported within the hospital to the radiology suite, cardiac catheterization suite, operating room, and from one intensive care unit to another. No studies to date have systematically evaluated intrahospital transport for patients on extracorporeal membrane oxygenation. DESIGN:: Retrospective cohort analysis. SETTING:: Cardiac intensive care unit in a tertiary care children's hospital. PATIENTS:: All patients on extracorporeal membrane oxygenation who required intrahospital transport between January 1996 and March 2007 were included and analyzed. MEASUREMENTS AND MAIN RESULTS:: A total of 57 intrahospital transports for cardiac catheterization and head computed tomography scans were analyzed. In 14 (70%) of 20 of patients with cardiac catheterization, a management change occurred as a result of the diagnostic cardiac catheterization. In ten (59%) of 17 patients, bedside echocardiography was of limited value in defining the critical problem. In the interventional group, the majority of transports were for atrial septostomy. In the head computed tomography group, significant pathology was identified, which led to management change. No major complications occurred during these intrahospital transports. CONCLUSIONS:: Although transporting patients on extracorporeal membrane oxygenation is labor intensive and requires extensive logistic support, it can be carried out safely in experienced hands and it can result in important therapeutic and diagnostic yields. To our knowledge, this is the first study designed to evaluate safety and efficacy of intrahospital transport for patients receiving extracorporeal membrane oxygenation support.
KW - Cardiac catheterization
KW - Children
KW - Computed tomography scan
KW - Extracorporeal membrane oxygenation
KW - Intrahospital transport
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U2 - 10.1097/PCC.0b013e3181b063b2
DO - 10.1097/PCC.0b013e3181b063b2
M3 - Article
C2 - 19593245
AN - SCOPUS:77949452835
SN - 1529-7535
VL - 11
SP - 227
EP - 233
JO - Pediatric Critical Care Medicine
JF - Pediatric Critical Care Medicine
IS - 2
ER -