Zimmermann, M. and Bein, Thomas and Philipp, A. and Ittner, K. and Foltan, M. and Drescher, J. and Weber, F. and Schmid, F. X. (2006) Interhospital transportation of patients with severe lung failure on pumpless extracorporeal lung assist. BRITISH JOURNAL OF ANAESTHESIA, 96 (1). pp. 63-66. ISSN 0007-0912, 1471-6771
Full text not available from this repository. (Request a copy)Abstract
Background. To describe the use of pumpless extracorporeal interventional lung assist (iLA) for transportation of patients with severe life-threatening acute lung failure from tertiary hospitals to a specialized centre. Methods. Retrospective analysis in eight patients with severe lung failure requiring interhospital transport, in whom implementation of an iLA system at a tertiary hospital for air/ground transportation was performed. Results. After implementation of iLA, a rapid increase in CO2-elimination (Pa-co2 before iLA: 8.92 +/- 2.9 kPa, immediately after implementation: 5.06 +/- 0.93 kPa, 24 h after implementation: 4.53 +/- 1.20 kPa [mean +/- SD], P < 0.05) was observed and a significant improvement in oxygenation (Pa-o2 before iLA: 6.66 +/- 2.26 kPa, immediately after implementation: 10.39 +/- 3.33 kPa, 24 h after implementation: 10.25 +/- 5.46 kPa, P < 0.05) was noted. During transport, no severe complications occurred. Four patients died during further treatment due to multiple trauma or multiple organ failure. Conclusions. Due to ease of handling, high effectiveness and relatively low costs, iLA seems to be a useful system for treatment and transportation of patients with severe acute lung injury or ARDS suffering from life-threatening hypoxia and/or hypercapnia.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | RESPIRATORY-DISTRESS-SYNDROME; ADULT PATIENTS; complications; acute respiratory distress syndrome; complications; hypercapnia; ventilation; pumpless interventional lung assist; transportation |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Anästhesiologie Medicine > Lehrstuhl für Herz-, Thorax- und herznahe Gefäßchirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 01 Mar 2021 09:37 |
| Last Modified: | 01 Mar 2021 09:37 |
| URI: | https://pred.uni-regensburg.de/id/eprint/35089 |
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