中国体外循环杂志2024,Vol.22Issue(4):287-292,6.DOI:10.13498/j.cnki.chin.j.ecc.2024.04.08
固定翼飞机转运体外膜氧合患者经验总结
Summary of experience in transporting patients with extracorporeal membrane oxygenation by fixed-wing aircraft
陈武 1王民 2李庆有 2王蕊 2魏彦芳 2吉冰洋 3巩秀静 2王靖 3王添隆 3王建 3滕媛 3刘刚 3闫姝洁 3张大春2
作者信息
- 1. 100037 北京,中国医学科学院北京协和医学院国家心血管病中心阜外医院体外循环中心||563000 遵义,遵义医科大学第二附属医院重症医学科
- 2. 100192 北京,北京市红十字会急诊抢救中心
- 3. 100037 北京,中国医学科学院北京协和医学院国家心血管病中心阜外医院体外循环中心
- 折叠
摘要
Abstract
Objective To summarize the experience of fixed-wing aircraft transport for critically ill patients supported by extracorporeal membrane oxygenation(ECMO).Methods Data of 11 ECMO-supported patients transported by fixed-wing aircraft from May 2017 to March 2023 by the Beijing Red Cross 999 Aero-Medical Rescue Team in collaboration with relevant medical units were retrospectively collected and analyzed.The precautions and potential adverse events during fixed-wing aircraft transport of ECMO patients were summarized.Results Of the 11 patients,9 were male and 2 were female,with an average age of(56.6±16.6)years.Ten patients were diagnosed with severe pneumonia,and one patient was diagnosed with cardiomyopathy complicated by cardiogenic shock.Ten patients received veno-venous(V-V)ECMO,and one patient received veno-arterial(V-A)ECMO.Two patients(18%)were transported by B-1999 fixed-wing aircraft,while nine patients(82%)were transported by B-5999 fixed-wing aircraft,with a flight distance of(713.9±388.6)km,flight time of(1.5±0.7)h,and total transport time of(4.4±0.8)h.The transport medical team consisted of four members(two doctors and two nurses).All patients were successfully transported,with two patients experiencing adverse reactions during transport,including decreased heart rate and decreased partial pressure of oxygen during flight.Conclusion Fixed-wing aircraft aerial medical rescue for ECMO patients is safe and feasible with a professional and experienced ECMO medical team and adequate equipment preparation.关键词
体外膜氧合/固定翼飞机/重症肺炎/转运Key words
Extracorporeal membrane oxygenation/Fixed-wing aircraft/Severe pneumonia/Transport引用本文复制引用
陈武,王民,李庆有,王蕊,魏彦芳,吉冰洋,巩秀静,王靖,王添隆,王建,滕媛,刘刚,闫姝洁,张大春..固定翼飞机转运体外膜氧合患者经验总结[J].中国体外循环杂志,2024,22(4):287-292,6.