دورية أكاديمية
Mobile Extracorporeal Membrane Oxygenation: 5-Year Experience of a French Pediatric and Neonatal Center
| العنوان: | Mobile Extracorporeal Membrane Oxygenation: 5-Year Experience of a French Pediatric and Neonatal Center |
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| المؤلفون: | Soreze, Yohan, Smagghue, Gabriel, Hervieux, Erik, Julliand, Sabestien, Genuini, Mathieu, Piloquet, Jean-Eudes, Rapp, Mélanie, Starck, Julie, Léger, Pierre-Louis, Rambaud, Jérôme |
| المساهمون: | CHU Trousseau APHP, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Sorbonne Université (SU), Carlos III University of Madrid, Hôpital Robert Debré, Université Paris Cité (UPCité) |
| المصدر: | ISSN: 1529-7535 ; Pediatric Critical Care Medicine ; https://inserm.hal.science/inserm-03285220Test ; Pediatric Critical Care Medicine, 2020, 21 (9), pp.e723 - e730. ⟨10.1097/pcc.0000000000002421⟩. |
| بيانات النشر: | HAL CCSD Lippincott, Williams & Wilkins |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology |
| الوصف: | International audience ; Objectives: Extracorporeal membrane oxygenation is an established therapy for refractory cardiac and/or pulmonary failure that is not available in all centers. When infants and children require extracorporeal membrane oxygenation, they are sometimes placed on extracorporeal membrane oxygenation support in peripheral centers where extracorporeal membrane oxygenation is not available and then transferred on extracorporeal membrane oxygenation to specialized centers. The objective of this study is to first describe one of the largest cohorts of infants and children transported by a mobile unit while on extracorporeal membrane oxygenation.Design: We undertook a single-center retrospective study that included patients transported while on extracorporeal membrane oxygenation between November 1, 2014, and May 31, 2019.Patients: All patients transported by our mobile extracorporeal membrane oxygenation unit during the study period were included. Computerized data collection was approved by the French Data Protection Authority (Commission nationale de l'informatique et des libertés n° 2121127V0).Main results: Over the study period, our extracorporeal membrane oxygenation mobile team transported 80 patients on extracorporeal membrane oxygenation among which 20 were newborns (25%) and 60 were children of 1 month to 17 years old (75%); 57 patients were on venoarterial-extracorporeal membrane oxygenation (71%) and 23 on venovenous-extracorporeal membrane oxygenation (29%). The average duration of transport was 8.4 hours with a median of 8 hours; the average distance travelled was 189 ± 140 km. Transport was by air and then ground for 50% of the patients and by ground for 42%. We observed a significant decrease in the Vasoactive-Inotropic Score (125 vs 99; p = 0.005) and PaCO2 levels (67 vs 49 mm Hg; p = 0.0005) after arrival in our unit. Survival rate 6 months after PICU discharge was 46% (37). There was a statistically significant relationship between initial lactate level and mortality (p = 0.02). ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | info:eu-repo/semantics/altIdentifier/pmid/32590827; inserm-03285220; https://inserm.hal.science/inserm-03285220Test; https://inserm.hal.science/inserm-03285220/documentTest; https://inserm.hal.science/inserm-03285220/file/SOreze%20et%20al,%20Mobile%20Extracorporeal%20Membrane%20Oxygenation%205%20Year%20experience%20of%20a%20french%20pediatric%20and%20neonatal%20center,%20PCCM,%202020.pdfTest; PUBMED: 32590827 |
| DOI: | 10.1097/pcc.0000000000002421 |
| الإتاحة: | https://doi.org/10.1097/pcc.0000000000002421Test https://inserm.hal.science/inserm-03285220Test https://inserm.hal.science/inserm-03285220/documentTest https://inserm.hal.science/inserm-03285220/file/SOreze%20et%20al,%20Mobile%20Extracorporeal%20Membrane%20Oxygenation%205%20Year%20experience%20of%20a%20french%20pediatric%20and%20neonatal%20center,%20PCCM,%202020.pdfTest |
| رقم الانضمام: | edsbas.9C11BB2A |
| قاعدة البيانات: | BASE |
| DOI: | 10.1097/pcc.0000000000002421 |
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