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ECMOLIFE intra-hospital transport in life-saving for pulmonary vein obstruction

BACKGROUND: Transport with extracorporeal membrane oxygenation (ECMO) in the hospital setting can become a challenge as well as in the out-of-hospital setting. In particular, the management of intra-hospital transport with ECMO support of the critically ill patient foresees his shift from the intens...

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Autores principales: Condello, Ignazio, Nasso, Giuseppe, Contegiacomo, Gaetano, Solimando, Carlo, Balducci, Giuseppe, Scaringi, Domenico, D’Alessandro, Pasquale, Speziale, Giuseppe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10284764/
https://www.ncbi.nlm.nih.gov/pubmed/37341809
http://dx.doi.org/10.1186/s40792-023-01702-y
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author Condello, Ignazio
Nasso, Giuseppe
Contegiacomo, Gaetano
Solimando, Carlo
Balducci, Giuseppe
Scaringi, Domenico
D’Alessandro, Pasquale
Speziale, Giuseppe
author_facet Condello, Ignazio
Nasso, Giuseppe
Contegiacomo, Gaetano
Solimando, Carlo
Balducci, Giuseppe
Scaringi, Domenico
D’Alessandro, Pasquale
Speziale, Giuseppe
author_sort Condello, Ignazio
collection PubMed
description BACKGROUND: Transport with extracorporeal membrane oxygenation (ECMO) in the hospital setting can become a challenge as well as in the out-of-hospital setting. In particular, the management of intra-hospital transport with ECMO support of the critically ill patient foresees his shift from the intensive care to the diagnostic areas, from the diagnostic areas to the interventional and surgical areas. CASE PRESENTATION: In this context, we present a life-saving transport case with the veno-venous (VV) configuration of the ECMOLIFE Eurosets system, for right heart and respiratory failure in a 54-year-old woman, due to thrombosed obstruction of the right superior pulmonary vein, following mitral valve repair surgery in minimally invasive approach in a patient already operated on for complex congenital heart disease. After stabilizing the vital parameters with Veno-venous ECMO for 19 h, the patient was transported to hemodynamics for angiography of the pulmonary vessels, where the diagnosis of obstruction of the pulmonary venous return was made. Subsequently, the patient was brought back to the operating room for a procedure of unblocking the right superior pulmonary vein using a minimally invasive approach, passing from the ECMO to the support in extracorporeal circulation. CONCLUSIONS: The transportable ECMOLIFE Eurosets System was safe and effective during transport in maintaining the vital parameters of oxygenation and CO(2) reuptake and systemic flow, allowing the patient to be mobilized for diagnostic tests instrumental to diagnosis. The patient was extubated 36 h after the surgical procedures and was discharged 10 days later from the hospital.
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spelling pubmed-102847642023-06-23 ECMOLIFE intra-hospital transport in life-saving for pulmonary vein obstruction Condello, Ignazio Nasso, Giuseppe Contegiacomo, Gaetano Solimando, Carlo Balducci, Giuseppe Scaringi, Domenico D’Alessandro, Pasquale Speziale, Giuseppe Surg Case Rep Case Report BACKGROUND: Transport with extracorporeal membrane oxygenation (ECMO) in the hospital setting can become a challenge as well as in the out-of-hospital setting. In particular, the management of intra-hospital transport with ECMO support of the critically ill patient foresees his shift from the intensive care to the diagnostic areas, from the diagnostic areas to the interventional and surgical areas. CASE PRESENTATION: In this context, we present a life-saving transport case with the veno-venous (VV) configuration of the ECMOLIFE Eurosets system, for right heart and respiratory failure in a 54-year-old woman, due to thrombosed obstruction of the right superior pulmonary vein, following mitral valve repair surgery in minimally invasive approach in a patient already operated on for complex congenital heart disease. After stabilizing the vital parameters with Veno-venous ECMO for 19 h, the patient was transported to hemodynamics for angiography of the pulmonary vessels, where the diagnosis of obstruction of the pulmonary venous return was made. Subsequently, the patient was brought back to the operating room for a procedure of unblocking the right superior pulmonary vein using a minimally invasive approach, passing from the ECMO to the support in extracorporeal circulation. CONCLUSIONS: The transportable ECMOLIFE Eurosets System was safe and effective during transport in maintaining the vital parameters of oxygenation and CO(2) reuptake and systemic flow, allowing the patient to be mobilized for diagnostic tests instrumental to diagnosis. The patient was extubated 36 h after the surgical procedures and was discharged 10 days later from the hospital. Springer Berlin Heidelberg 2023-06-21 /pmc/articles/PMC10284764/ /pubmed/37341809 http://dx.doi.org/10.1186/s40792-023-01702-y Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Case Report
Condello, Ignazio
Nasso, Giuseppe
Contegiacomo, Gaetano
Solimando, Carlo
Balducci, Giuseppe
Scaringi, Domenico
D’Alessandro, Pasquale
Speziale, Giuseppe
ECMOLIFE intra-hospital transport in life-saving for pulmonary vein obstruction
title ECMOLIFE intra-hospital transport in life-saving for pulmonary vein obstruction
title_full ECMOLIFE intra-hospital transport in life-saving for pulmonary vein obstruction
title_fullStr ECMOLIFE intra-hospital transport in life-saving for pulmonary vein obstruction
title_full_unstemmed ECMOLIFE intra-hospital transport in life-saving for pulmonary vein obstruction
title_short ECMOLIFE intra-hospital transport in life-saving for pulmonary vein obstruction
title_sort ecmolife intra-hospital transport in life-saving for pulmonary vein obstruction
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10284764/
https://www.ncbi.nlm.nih.gov/pubmed/37341809
http://dx.doi.org/10.1186/s40792-023-01702-y
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