Long-distance air and ground transport of patient on ECMO VA as a bridge to transplant. A case Report.

Authors

  • Camila Lambert Rodrigues, CPC INSTITUTO DEL CORAZÓN DEL HOSPITAL DE CLÍNICAS DE LA FACULTAD DE MEDICINA DE LA UNIVERSIDAD DE SÃO PAULO
  • Samuel Padovani Steffen, Dr. Instituto del Corazón del Hospital de Clínicas de la Facultad de Medicina. Universidad de Sao Paulo
  • Shirlyne Fabianni Gaspar, Dra. Instituto del Corazón del Hospital de Clínicas de la Facultad de Medicina. Universidad de Sao Paulo
  • Fabio Antonio Gaiotto Instituto del Corazón del Hospital de Clínicas de la Facultad de Medicina. Universidad de Sao Paulo
  • Alfredo Inácio Fiorelli, Dr. Instituto del Corazón del Hospital de Clínicas de la Facultad de Medicina. Universidad de Sao Paulo
  • Fábio Biscegli Jatene, Dr. Instituto del Corazón del Hospital de Clínicas de la Facultad de Medicina. Universidad de Sao Paulo

Keywords:

ECMO, Air medical transport, Heart failure, Cardiac transplantation

Abstract

The use of ECMO - VA is becoming more and more frequent in large transplant centers, as is ECMO transport. In long distances, the training and experience of the responsible team becomes paramount for the safety and success of the transport. The aim of this paper is to report a case of a 54-year-old man with end-stage heart failure, in which it was necessary to use ECMO - VA to perform aeromedical transport from a non-specialized center to a tertiary hospital, where the transplantation was performed. Therefore, it is possible to portray the importance of ECMO to stabilize hemodynamics, providing transport conditions, as well as the importance of assistance as a bridge to cardiac transplantation. In order for long distance ECMO transport to be performed safely, it is necessary to have a specialized team, trained and with good communication. This is the first case reported in the Brazilian literature of ECMO transport - VA, with distance greater than 2 500 km, followed by cardiac transplantation.

Published

2022-12-12 — Updated on 2023-09-28

Versions

How to Cite

Lambert Rodrigues, C., Padovani Steffen, S., Fabianni Gaspar, S., Gaiotto, F. A., Fiorelli, A. I., & Biscegli Jatene, F. (2023). Long-distance air and ground transport of patient on ECMO VA as a bridge to transplant. A case Report. Revista En Bomba, 6(2), 94–96. Retrieved from https://revistaenbombaalap.org/index.php/bomba/article/view/170 (Original work published December 12, 2022)

Issue

Section

Presentación de casos

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