Cargando…

Prone transportation to an ECMO center

Acute Respiratory Distress Syndrome (ARDS) accounts for 10% of all intensive care unit admissions and mortality remains exceedingly high ranging from 35 to 46%. Prone positioning has demonstrated benefit as a treatment option in the moderate to severe subset of ARDS patients. Referral to an extracor...

Descripción completa

Detalles Bibliográficos
Autores principales: Nikouline, Anton, Del Sorbo, Lorenzo, Granton, John T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Ltd. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8091736/
http://dx.doi.org/10.1016/j.tacc.2021.04.003
_version_ 1783687538693636096
author Nikouline, Anton
Del Sorbo, Lorenzo
Granton, John T.
author_facet Nikouline, Anton
Del Sorbo, Lorenzo
Granton, John T.
author_sort Nikouline, Anton
collection PubMed
description Acute Respiratory Distress Syndrome (ARDS) accounts for 10% of all intensive care unit admissions and mortality remains exceedingly high ranging from 35 to 46%. Prone positioning has demonstrated benefit as a treatment option in the moderate to severe subset of ARDS patients. Referral to an extracorporeal membrane oxygenation (ECMO) center remains the standard of care for patients with refractory hypoxemia. Transfer of these already critically ill patients is high risk but there is a possibility for improved oxygenation on transport with prone positioning. Currently there is limited data on the safe transportation of prone patients to ECMO centers. Herein we describe a case of an ARDS patient safely transported prone with minimal ad hoc adjustments to standard ambulance transport.
format Online
Article
Text
id pubmed-8091736
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Elsevier Ltd.
record_format MEDLINE/PubMed
spelling pubmed-80917362021-05-03 Prone transportation to an ECMO center Nikouline, Anton Del Sorbo, Lorenzo Granton, John T. Trends in Anaesthesia & Critical Care Lesson from Clinical Practice Acute Respiratory Distress Syndrome (ARDS) accounts for 10% of all intensive care unit admissions and mortality remains exceedingly high ranging from 35 to 46%. Prone positioning has demonstrated benefit as a treatment option in the moderate to severe subset of ARDS patients. Referral to an extracorporeal membrane oxygenation (ECMO) center remains the standard of care for patients with refractory hypoxemia. Transfer of these already critically ill patients is high risk but there is a possibility for improved oxygenation on transport with prone positioning. Currently there is limited data on the safe transportation of prone patients to ECMO centers. Herein we describe a case of an ARDS patient safely transported prone with minimal ad hoc adjustments to standard ambulance transport. Elsevier Ltd. 2021-08 2021-05-03 /pmc/articles/PMC8091736/ http://dx.doi.org/10.1016/j.tacc.2021.04.003 Text en © 2021 Elsevier Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Lesson from Clinical Practice
Nikouline, Anton
Del Sorbo, Lorenzo
Granton, John T.
Prone transportation to an ECMO center
title Prone transportation to an ECMO center
title_full Prone transportation to an ECMO center
title_fullStr Prone transportation to an ECMO center
title_full_unstemmed Prone transportation to an ECMO center
title_short Prone transportation to an ECMO center
title_sort prone transportation to an ecmo center
topic Lesson from Clinical Practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8091736/
http://dx.doi.org/10.1016/j.tacc.2021.04.003
work_keys_str_mv AT nikoulineanton pronetransportationtoanecmocenter
AT delsorbolorenzo pronetransportationtoanecmocenter
AT grantonjohnt pronetransportationtoanecmocenter