Interhospital transfer with extracorporeal membrance oxygenation in pediatric patients

Wang Xiangni; Yang Yufan; Huang Jiaotian; Lu Xiulan; Xiao Zhenghui

doi:10.13498/j.cnki.chin.j.ecc.2023.06.04

Abstract：Objective To summarize the interhospital transfer experience of critically ill children with extracorporeal membrane oxygenation(ECMO)and provide evidence for interhospital transfer of ECMO-treated patients.Methods To retro-spectively analyse the general information,disease status,choice of intubation,distance of ECMO transfer,conditions of patients before and after ECMO transfer,complications during transfer of 10 patients underwent ECMO inter-hospital transfer in our hos-pital from January 2020 to December 2022 were retrospectively analyzed,and the experience was summarized from various as-pects.Results The oldest of the 10 patients with severe diseases was 11 years old and the mean age was(52.0±48.8)months.The main diseases were acute respiratory distress syndrome,explosive myocarditis,avian influenza,heart failure,neonatal pul-monary hypertension and so on.The mean transfer distance was(234.9±98.5)km,and the respiratory circulation was stable dur-ing transfer.Eight children were discharged from hospital after recovered,and 1 child's lung condition was not well-controlled during ECMO treatment.This patient developed multiple organ failure soon after ECMO withdrawal and was automatically dis-charged eventually.Another case,the family member gave up the treatment.The average ECMO supporting time was(165.8±115.0)h.Conclusion:The use of ECMO for inter-hospital transfer of critically ill pediatric patients is a feasible and safe opera-tion based on perfect equipment and professional team cooperation,which can save precious time for patients'lives.