Article ; Online: Safety of inter-facility transport strategies for patients referred for severe acute respiratory distress syndrome.
2023 Volume 23, Issue 1, Page(s) 129
Abstract: Background: Inter-facility transport of patients with acute respiratory distress syndrome (ARDS) in the prone position (PP) is a high-risk situation, compared to other strategies. We aimed to quantify the prevalence of complications during transport in ... ...
| Abstract | Background: Inter-facility transport of patients with acute respiratory distress syndrome (ARDS) in the prone position (PP) is a high-risk situation, compared to other strategies. We aimed to quantify the prevalence of complications during transport in PP, compared to transports with veno-venous extracorporeal membrane oxygenation (VV-ECMO) or in the supine position (SP). Methods: We performed a retrospective, single center cohort study in Lyon university hospital, France. We included patients ≥ 16 years with ARDS (Berlin definition) transported to an ARDS referral center between 01/12/2016 and 31/12/2021. We compared patients transported in PP, to those transported in SP without VV-ECMO, and those transported with VV-ECMO (in SP), by a multidisciplinary and specialized medical transport team, including an emergency physician and an intensivist. The primary outcome was the rate of transport-related complications (hypoxemia, hypotension, cardiac arrest, cannula or tube dislodgement) in each study groups, compared using a Fisher test. Results: One hundred thirty-four patients were enrolled (median PaO Conclusions: In the context of a specialized multi-disciplinary ARDS transport team, transport-related complication rates were similar between patients transported in PP and SP, while there was a trend of lower rates in patients transported with VV-ECMO. |
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| MeSH term(s) | Humans ; Cohort Studies ; Retrospective Studies ; Respiratory Distress Syndrome/epidemiology ; Respiratory Distress Syndrome/therapy ; Respiratory Distress Syndrome/etiology ; Hypoxia ; Pneumonia, Viral |
| Language | English |
| Publishing date | 2023-11-04 |
| Publishing country | England |
| Document type | Journal Article |
| ZDB-ID | 2050431-7 |
| ISSN | 1471-227X ; 1471-227X |
| ISSN (online) | 1471-227X |
| ISSN | 1471-227X |
| DOI | 10.1186/s12873-023-00901-y |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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