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Case Reports
. 2010;2(2):131-4.

Inter-hospital extracorporeal life support

G Redaelli  1 , A Annoni, R Caruso, F Formica, V Meroni, L Avalli
Affiliations
Case Reports

Inter-hospital extracorporeal life support

G Redaelli et al. HSR Proc Intensive Care Cardiovasc Anesth. 2010.

Abstract

A 60-year-old man with history of hypertension and unspecified left ventricular dysfunction had chest pain at home at 9 am. At 1 pm he was transported to a peripheal hospital and treated for acute myocardial infarction. At 4.30 pm, despite pharmacological and intra aortic balloon pump support , the extreme hemodynamic instability and the echocardiographic signs forced the doctors in charge to contact the "extracorporeal membrane oxygenation team" of our Intensive Care Unit. The team, that in our hospital is composed of an intensivist, a cardiac surgeon, a perfusionist and a nurse, reached the hospital at 5.15 pm and performed a percutaneous cannulation of right femoral artery and left femoral vein connecting the patient to the extracorporeal membrane oxygenation circuit. At 6.30 pm the patient on extracorporeal membrane oxygenation was transferred by ambulance to the Cardiac Surgery Intensive Care Unit of San Gerardo Hospital in Monza. On day 20 he was transferred back to the original hospital without neurological deficits, with normal renal function and normal blood gas analysis.

Keywords: cardiac arrest; cardiogenic shock; extracorporeal membrane oxygenation.

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Conflict of interest statement

Conflict of interest No conflict of interest acknowledged by the authors.

Figures

Figure 1
Figure 1
ECMO circuit with membrane oxygenator and centrifugal pump mounted on a specially designed multifunctional holder Steering and control unit including battery pack.
See this image and copyright information in PMC

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