Philipp, Alois and Arlt, Matthias and Amann, Matthias and Lunz, Dirk and Mueller, Thomas and Hilker, Michael and Graf, Bernhard and Schmid, Christof (2011) First experience with the ultra compact mobile extracorporeal membrane oxygenation system Cardiohelp in interhospital transport. INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY, 12 (6). pp. 978-981. ISSN 1569-9293,
Full text not available from this repository. (Request a copy)Abstract
In patients with severe cardiopulmonary failure extracorporeal assist devices are to support patients during resuscitation, for transportation, until organ recovery, and as bridge to further therapeutic modalities. We report on our first experience with the new Cardiohelp system for interhospital transfer of cardiopulmonarily compromised patients. The Cardiohelp system was used for transportation and in-house treatment in six male patients with a mean age of 41+/-17 years. Five patients suffered respiratory failure; one patient with acute myocardial infarction was in profound cardiogenic shock. Accordingly, the Cardiohelp system was implanted as a venovenous extracorporeal membrane oxygenation (ECMO) in five patients and as a venoarterial system in one patient. The preECMO ventilation time was 0.5-4 days. The patients were transported to our institution by car (n=1) or helicopter (n=5) over a distance of 80-5850 km. The subsequent in-house ECMO support was continued with the Cardiohelp and lasted for 5-13 days. PostECMO ventilation was one to 25 days. A 100% survival was achieved. The portable Cardiohelp system allows location-independent stabilization of cardiopulmonary compromised patients with consecutive interhospital transfer and in-house treatment. The integrated sensors, which register arterial and venous line pressure, blood temperature, hemoglobin as well as SvO(2), greatly alleviate its management and considerably increase safety. (C) 2011 Published by European Association for Cardio-Thoracic Surgery. All rights reserved.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | LIFE-SUPPORT; Cardiohelp; Extracorporeal life support; Extracorporeal membrane oxygenation; Interhospital transfer; Patient transport |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Anästhesiologie Medicine > Lehrstuhl für Herz-, Thorax- und herznahe Gefäßchirurgie Medicine > Lehrstuhl für Innere Medizin II |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 15 Jun 2020 13:19 |
| Last Modified: | 15 Jun 2020 13:19 |
| URI: | https://pred.uni-regensburg.de/id/eprint/20767 |
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