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Extracorporeal Membrane Oxygenation During Aeromedical Transport of Cardiovascular Critical Care Patients: Evidence-Based Frameworks and Clinical Challenges.

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Τίτλος: Extracorporeal Membrane Oxygenation During Aeromedical Transport of Cardiovascular Critical Care Patients: Evidence-Based Frameworks and Clinical Challenges.
Συγγραφείς: Zhang Z; Wuhan Asia General Hospital, Wuhan, Hubei, China. Electronic address: blyynk@hotmail.com., Zhang Y; Wuhan Asia General Hospital, Wuhan, Hubei, China.
Πηγή: Journal of cardiothoracic and vascular anesthesia [J Cardiothorac Vasc Anesth] 2026 Sep; Vol. 40 (9), pp. 3002-3006. Date of Electronic Publication: 2026 Apr 28.
Τύπος έκδοσης: Journal Article; Review
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: W.B. Saunders Country of Publication: United States NLM ID: 9110208 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-8422 (Electronic) Linking ISSN: 10530770 NLM ISO Abbreviation: J Cardiothorac Vasc Anesth Subsets: MEDLINE
Imprint Name(s): Original Publication: Philadelphia, PA : W.B. Saunders, c1991-
Ιατρικοί όροι (MeSH): Extracorporeal Membrane Oxygenation*/methods , Extracorporeal Membrane Oxygenation*/standards , Critical Care*/methods , Critical Care*/standards , Air Ambulances*/standards , Cardiovascular Diseases*/therapy , Cardiovascular Diseases*/diagnosis , Transportation of Patients*/methods , Transportation of Patients*/standards , Emergency Medical Services*/methods , Evidence-Based Medicine*/methods, Humans
Περίληψη: Venoarterial extracorporeal membrane oxygenation (VA-ECMO) aeromedical transport presents the most complex logistical and clinical interface in critical care medicine. This review synthesizes contemporary evidence regarding the retrieval of cardiovascular patients on VA-ECMO, focusing on the operational nuances of helicopter emergency medical services. This study presents a comprehensive analysis of (1) the interplay between flight-specific stressors, (2) technical innovations for circuit stability, and (3) clinical outcomes. A critical benchmark of operational success is the mitigation of category 2 severe complications-events requiring immediate clinical intervention to prevent morbidity. By integrating flight physiology with device engineering, this review establishes a standardized framework for optimizing transport safety, emphasizing that while peri-transport mortality is negligible in specialized programs, high-fidelity monitoring remains essential.
(Copyright © 2026 Elsevier Inc. All rights reserved.)
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
Contributed Indexing: Keywords: aeromedical retrieval; cardiogenic shock; critical care; extracorporeal membrane oxygenation; helicopter emergency medical services; logistical throughput
Entry Date(s): Date Created: 20260518 Date Completed: 20260812 Latest Revision: 20260812
Update Code: 20260813
DOI: 10.1053/j.jvca.2026.04.048
PMID: 42150992
Βάση Δεδομένων: MEDLINE
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  Data: Extracorporeal Membrane Oxygenation During Aeromedical Transport of Cardiovascular Critical Care Patients: Evidence-Based Frameworks and Clinical Challenges.
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  Data: <searchLink fieldCode="AU" term="%22Zhang+Z%22">Zhang Z</searchLink>; Wuhan Asia General Hospital, Wuhan, Hubei, China. Electronic address: blyynk@hotmail.com.<br /><searchLink fieldCode="AU" term="%22Zhang+Y%22">Zhang Y</searchLink>; Wuhan Asia General Hospital, Wuhan, Hubei, China.
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  Data: <searchLink fieldCode="MM" term="%22Extracorporeal+Membrane+Oxygenation%22">Extracorporeal Membrane Oxygenation*</searchLink>/<searchLink fieldCode="MM" term="%22Extracorporeal+Membrane+Oxygenation+methods%22">methods</searchLink> <br /><searchLink fieldCode="MM" term="%22Extracorporeal+Membrane+Oxygenation%22">Extracorporeal Membrane Oxygenation*</searchLink>/<searchLink fieldCode="MM" term="%22Extracorporeal+Membrane+Oxygenation+standards%22">standards</searchLink> <br /><searchLink fieldCode="MM" term="%22Critical+Care%22">Critical Care*</searchLink>/<searchLink fieldCode="MM" term="%22Critical+Care+methods%22">methods</searchLink> <br /><searchLink fieldCode="MM" term="%22Critical+Care%22">Critical Care*</searchLink>/<searchLink fieldCode="MM" term="%22Critical+Care+standards%22">standards</searchLink> <br /><searchLink fieldCode="MM" term="%22Air+Ambulances%22">Air Ambulances*</searchLink>/<searchLink fieldCode="MM" term="%22Air+Ambulances+standards%22">standards</searchLink> <br /><searchLink fieldCode="MM" term="%22Cardiovascular+Diseases%22">Cardiovascular Diseases*</searchLink>/<searchLink fieldCode="MM" term="%22Cardiovascular+Diseases+therapy%22">therapy</searchLink> <br /><searchLink fieldCode="MM" term="%22Cardiovascular+Diseases%22">Cardiovascular Diseases*</searchLink>/<searchLink fieldCode="MM" term="%22Cardiovascular+Diseases+diagnosis%22">diagnosis</searchLink> <br /><searchLink fieldCode="MM" term="%22Transportation+of+Patients%22">Transportation of Patients*</searchLink>/<searchLink fieldCode="MM" term="%22Transportation+of+Patients+methods%22">methods</searchLink> <br /><searchLink fieldCode="MM" term="%22Transportation+of+Patients%22">Transportation of Patients*</searchLink>/<searchLink fieldCode="MM" term="%22Transportation+of+Patients+standards%22">standards</searchLink> <br /><searchLink fieldCode="MM" term="%22Emergency+Medical+Services%22">Emergency Medical Services*</searchLink>/<searchLink fieldCode="MM" term="%22Emergency+Medical+Services+methods%22">methods</searchLink> <br /><searchLink fieldCode="MM" term="%22Evidence-Based+Medicine%22">Evidence-Based Medicine*</searchLink>/<searchLink fieldCode="MM" term="%22Evidence-Based+Medicine+methods%22">methods</searchLink><br /><searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink>
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  Data: Venoarterial extracorporeal membrane oxygenation (VA-ECMO) aeromedical transport presents the most complex logistical and clinical interface in critical care medicine. This review synthesizes contemporary evidence regarding the retrieval of cardiovascular patients on VA-ECMO, focusing on the operational nuances of helicopter emergency medical services. This study presents a comprehensive analysis of (1) the interplay between flight-specific stressors, (2) technical innovations for circuit stability, and (3) clinical outcomes. A critical benchmark of operational success is the mitigation of category 2 severe complications-events requiring immediate clinical intervention to prevent morbidity. By integrating flight physiology with device engineering, this review establishes a standardized framework for optimizing transport safety, emphasizing that while peri-transport mortality is negligible in specialized programs, high-fidelity monitoring remains essential.<br /> (Copyright © 2026 Elsevier Inc. All rights reserved.)
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  Data: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
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  Data: <i>Keywords: </i>aeromedical retrieval; cardiogenic shock; critical care; extracorporeal membrane oxygenation; helicopter emergency medical services; logistical throughput
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      – SubjectFull: Extracorporeal Membrane Oxygenation methods
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      – TitleFull: Extracorporeal Membrane Oxygenation During Aeromedical Transport of Cardiovascular Critical Care Patients: Evidence-Based Frameworks and Clinical Challenges.
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