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Emerg Med Australas · Apr 2019
Extracorporeal membrane oxygenation retrieval factors and survival to intensive care unit discharge.
- Lucy Kennedy, Scott Wrigley, Marcus Kennedy, and Vincent Pellegrino.
- Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia.
- Emerg Med Australas. 2019 Apr 1; 31 (2): 280-282.
ObjectiveAudit of extracorporeal membrane oxygenation (ECMO) retrieval service operating in Victoria, Australia, regarding retrieval factors and patient survival to intensive care unit (ICU) discharge.MethodsRetrospective cohort analysis of Adult Retrieval Victoria ECMO retrievals with subsequent ICU admission (n = 88) from January 2014 to December 2017.ResultsComplications 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.ConclusionRetrieval 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.© 2018 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.
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